Organization Active NPI

Terri Pendleton,Inc

  • Adult Mental Health Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1427304195
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH-3827 Issued in FL
Legal business name
TERRI PENDLETON,INC
Practice address
2708 Alt 19 Ste 507-14
Palm Harbor, FL 34683-2665
Phone
(727) 785-7472
Fax
(727) 785-7429
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Terri Pendleton, LMHCNPI 1942386024
Title
Licensed Mental Health Counselor
Phone
(727) 785-7472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH-3827 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH-3827 FL

Addresses

Primary practice location

2708 Alt 19 Ste 507-14
Palm Harbor, FL 34683-2665

Mailing address

2708 Alt 19 Ste 507-14
Palm Harbor, FL 34683-2665
Phone (727) 785-7472

National Provider Directory

National Provider Directory

Locations

2708 Alt 19
Ste 50714
Palm Harbor, FL 34683
Phone (727) 785-7472

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1427304195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 ALT 19 STE 507-14",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832665",
            "telephone_number": "727-785-7472",
            "fax_number": "727-785-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 ALT 19 STE 507-14",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832665",
            "telephone_number": "727-785-7472",
            "fax_number": "727-785-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI PENDLETON,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "727-785-7472",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH-3827",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MH-3827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.