Individual provider Active NPI

Rebekah Ruth Pender, PH.D., LPC, NCC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1265750020
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61552 Issued in TX
Practice address
535 Bandera Rd
San Antonio, TX 78228-5524
Phone
(210) 431-6466
Fax
(210) 431-6470
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61552 TX Primary

Addresses

Primary practice location

535 Bandera Rd
San Antonio, TX 78228-5524

Mailing address

11300 Expo Blvd
Apt. 2218
San Antonio, TX 78230-1005
Phone (210) 557-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
61552TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1265750020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 EXPO BLVD",
            "address_2": "APT. 2218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301005",
            "telephone_number": "210-557-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285524",
            "telephone_number": "210-431-6466",
            "fax_number": "210-431-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "REBEKAH",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.