Skyla Danelle Pendley, BHRS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

908 Dallas St
Talihina, OK 74571

Phone

(405) 573-9905

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• C4C

  • Mental Illness Community Based Residential Treatment Facility
  • Whitesboro, OK
  • NPI 1932486909
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1114209129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34396 RIVER RD",
            "city": "WHITESBORO",
            "state": "OK",
            "postal_code": "745771019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 DALLAS ST",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "405-573-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34396 River Rd",
            "address_purpose": "LOCATION",
            "city": "Whitesboro",
            "state": "OK",
            "postal_code": "745771019",
            "country_code": "US",
            "telephone_number": "918-413-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "SKYLA",
        "middle_name": "DANELLE",
        "credential": "BHRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Osburne, RPSGT
• Sarah Ann Owers, CRNA
• Christopher Carl Pack, PHARM.D.
• William Richard Parrish, CRNA
• Kasey Parsons, LMFT, U/S
• Kathryn Lynn Pitchford, L.A.D.C.
• Kayla Price
• Samantha Ronnel Querubin-Chavez, LMSW U/S
• R L Lake DDS Inc
• Kelly Rainwater

• Mental Health Counselor in Talihina, OK
• Providers in Talihina, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.