Active NPI
Rebecca Pendell, LMHC
- Counselor
- Othello, WA
National Provider Identifier
1366223471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC61496771
- Practice address
- 1515 E Columbia St
Othello, WA 99344-1846 - Phone
- (509) 488-5256
- Fax
- (509) 488-9939
- NPI assigned
- Oct 13, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61496771 | WA | Primary |
Addresses
Primary practice location
1515 E Columbia St
Othello, WA 99344-1846
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
Other practice location 1
601 Government Rd
Mattawa, WA 99349-5120
Phone (509) 488-5256
Other practice location 2
1051 Columbia Ave
Connell, WA 99326-8702
Phone (509) 488-5256
Other practice location 3
6115 Burden Blvd Ste D
Pasco, WA 99301-0010
Phone (509) 488-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC61496771 | Other | WA | WASHINGTON STATE DEPT. OF HEALTH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61496771 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1366223471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
}
],
"practiceLocations": [
{
"address_1": "601 Government Rd",
"address_purpose": "LOCATION",
"city": "Mattawa",
"state": "WA",
"postal_code": "993495120",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1051 Columbia Ave",
"address_purpose": "LOCATION",
"city": "Connell",
"state": "WA",
"postal_code": "993268702",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6115 Burden Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993010010",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDELL",
"first_name": "REBECCA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61496771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT. OF HEALTH",
"identifier": "MC61496771",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Othello, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.