Pedersen Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

KY-1573 Issued in KY

Legal business name

PEDERSEN COUNSELING

Practice address

405 N Lexington Ave
Wilmore, KY 40390-1195

Phone

(317) 408-8968

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy N Pedersen, LPCANPI 1235905894

Title

President/Ceo

Phone

(317) 408-8968

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Troy Pedersen, JD, LMHC, LPCC

  • Mental Health Counselor
  • Cloverdale, IN
  • NPI 1235905894
  Authorized official Same address or phone

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1275978512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N LEXINGTON AVE",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901195",
            "telephone_number": "317-408-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N LEXINGTON AVE",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901195",
            "telephone_number": "317-408-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSEN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-408-8968",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "KY-1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Thompson O'Neal, M.D.
• Julianne Ossege, APRN, PHD
• Stuart Lee Palmer, PSYD
• Vivek R Patel, M.D.
• Pedersen Chiropractic, PLLC
• Lisa Leigh Pedersen, PHD, D.C.
• Trent Lee Pedersen, D.C.
• Jacquelyn Brooke Pennington, MS CF
• Victoria Pierce, APRN, DNP
• Courtney Jelecia Pitts, APRN, DNP

• Community/Behavioral Health Agency in Wilmore, KY
• Providers in Wilmore, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.