Jane Ashley Pendras-Verdon, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60892092 Issued in WA

Practice address

5502 34TH Ave NE
Seattle, WA 98105-2305

Phone

(206) 420-7345

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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.

• Hallowell Todaro Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1689024580
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1265197370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NW 70TH ST APT 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175055",
            "telephone_number": "360-510-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 34TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052305",
            "telephone_number": "206-420-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDRAS-VERDON",
        "first_name": "JANE",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60892092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pendergrass, LICSW
• Thomas W Pendergrass, M.D., M.S.P.H.
• Charlotte Jean Pendleton, LMP
• Mikaela Pendleton
• Holly Ann Pendragon
• Maureen Pendras, MSW
• Theresa Jacqueline Sally Pendras
• Alex Penev, MD, PHD
• Leslie Penfold
• Changhong Peng, PHARM.D.

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.