Individual provider Active NPI

Todd Pender, LAC, LCADC

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1083218986
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00538800 Issued in NJ
Practice address
36 W Water St Ste 1a
Toms River, NJ 08753-7414
Phone
(908) 752-1129
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00316300 NJ
Mental Health Counselor 101YM0800X 37AC00538800 NJ Primary

Addresses

Primary practice location

36 W Water St Ste 1a
Toms River, NJ 08753-7414

Mailing address

29 Cabana Dr
Brick, NJ 08723-7630
Phone (908) 752-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113003727 NJ Practitioner - Mental Health Counselor 6103350103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center LLCGroup PAC ID 4284054446, 10 clinicians

Practice addresses (Care Compare)

2340 US Hwy 9
Suite A2
Howell, NJ 07731-4016
Phone (732) 987-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00316300NJMDAddiction (Substance Use Disorder) Counselor
37AC00538800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Center, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2340 US Highway 9
Ste A2
Howell, NJ 07731
Phone (732) 637-8231

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1083218986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CABANA DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237630",
            "telephone_number": "908-752-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W WATER ST STE 1A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537414",
            "telephone_number": "908-752-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "LAC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00316300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00538800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.