Individual provider Active NPI

Joseph Michael Pendal, LADC, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1235891912
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4489 Issued in MN
Practice address
545 7TH St W
Saint Paul, MN 55102-3007
Phone
(651) 314-1145
Fax
(651) 666-2914
NPI assigned
Oct 9, 2021
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 306190 MN
Mental Health Counselor 101YM0800X 4489 MN Primary

Addresses

Primary practice location

545 7TH St W
Saint Paul, MN 55102-3007

Mailing address

545 7TH St W
Saint Paul, MN 55102-3007
Phone (651) 314-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250530000516 MN Practitioner - Mental Health Counselor 5890204077 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
Through Therapy Collective, IncGroup PAC ID 9830565126, 9 clinicians

Practice addresses (Care Compare)

3217 Hennepin Ave
Suite 3
Minneapolis, MN 55408-4695
Phone (612) 509-8629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306190MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Through Therapy Collective, Inc CurrentSince Mar 24, 2025 Accepting new patients

Locations

3217 Hennepin Ave
Ste 3
Minneapolis, MN 55408
Phone (612) 460-7098

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 550-9079

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, 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": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1235891912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023007",
            "telephone_number": "651-314-1145",
            "fax_number": "651-666-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023007",
            "telephone_number": "651-314-1145",
            "fax_number": "651-666-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDAL",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306190",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.