Active NPI
Kisha Ann Pendleton, LCSW
- Professional Counselor
- New Orleans, LA
National Provider Identifier
1073955183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3972
- Practice address
- 2432 Lark St
New Orleans, LA 70122-4322 - Phone
- (504) 908-5859
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3972 | LA | |
| Mental Health Counselor | 101YM0800X | 3972 | LA | |
| Professional Counselor | 101YP2500X | 3972 | LA | Primary |
| Behavior Analyst | 103K00000X | 3972 | LA |
Addresses
Primary practice location
2432 Lark St
New Orleans, LA 70122-4322
Mailing address
2432 Lark St
New Orleans, LA 70122-4322
Phone (504) 908-5859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3972 | Other | LA | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3972 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1073955183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 LARK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701224322",
"telephone_number": "504-908-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 LARK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701224322",
"telephone_number": "504-908-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "KISHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "3972",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3972",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3972",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "3972",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "3972",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.