Active NPI
Brianna Luna Pendleton, MS
- Professional Counselor
- Annapolis, MD
National Provider Identifier
1336463686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4066
- Practice address
- 175 Admiral Cochrane Dr
Annapolis, MD 21401-7316 - Phone
- (410) 571-0888
- NPI assigned
- Mar 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4066 | MD | Primary |
Addresses
Primary practice location
175 Admiral Cochrane Dr
Annapolis, MD 21401-7316
Mailing address
123 Arundel Ave
Severna Park, MD 21146-4801
Phone (443) 995-0886
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4066 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1336463686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ARUNDEL AVE",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464801",
"telephone_number": "443-995-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 ADMIRAL COCHRANE DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017316",
"telephone_number": "410-571-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "BRIANNA",
"middle_name": "LUNA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.