Loretta Lynn Pendergrass, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84790 Issued in TX

Practice address

5920 Deer Run Dr
McKinney, TX 75070-9593

Phone

(214) 726-6924

NPI assigned

Nov 7, 2022

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comfort and Resource Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McKinney, TX
  • NPI 1073335485
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1235847575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 DEER RUN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709593",
            "telephone_number": "214-726-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 DEER RUN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709593",
            "telephone_number": "214-726-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "LORETTA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBSW",
            "identifier": "22785",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEAHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "84790",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "resourcecounseling.net",
            "affiliation": "N",
            "address_1": "5920 Deer Run Dr",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750709593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ingrid Pedre, LPC
• Curtis Peery, MD
• Robert Peghebe, NURSE PRACTITIONER
• Stephanie Loyd Pelt, M.S., CCC-SLP
• Jennifer Pelts
• Li-Ling Peng, PHD, RD, LD
• Emily Pennington
• Peoples Medical Care PLLC
• Peppermint Dental-McKinney PLLC
• Laura Anne Perdomo, PHARM.D.

• Professional Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.