Individual provider Active NPI

Gwendolyn B Pescini, LCPC

  • Professional Counselor
  • Manhattan, KS
National Provider Identifier
1215643598
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04240 Issued in KS
Practice address
2001 Claflin Rd
Manhattan, KS 66502-3415
Phone
(785) 491-9284
NPI assigned
Jan 30, 2023
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04240 KS Primary
Professional Counselor 101YP2500X LCP12018 SC

Addresses

Primary practice location

2001 Claflin Rd
Manhattan, KS 66502-3415

Mailing address

210 W 21St St
Concordia, KS 66901-5200
Phone (785) 491-9284

Other practice location 1

6536 Laguna Pt
Myrtle Beach, SC 29588-6475
Phone (785) 491-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240124002416 KS Practitioner - Mental Health Counselor 0749633980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone 7855874300605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04240KSMDProfessional Counselor
LCP12018SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

210 W 21st St
Concordia, KS 66901
Phone (785) 243-8900

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

2001 Claflin Rd
Manhattan, KS 66502

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1215643598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 21ST ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669015200",
            "telephone_number": "785-491-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLAFLIN RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023415",
            "telephone_number": "785-491-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6536 Laguna Pt",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295886475",
            "country_code": "US",
            "telephone_number": "785-491-9285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESCINI",
        "first_name": "GWENDOLYN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04240",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "LCP12018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.