Active NPI
Lezlie Mary Burwell-Pender, PHD
- Counselor
- Waxahachie, TX
National Provider Identifier
1700182326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61900
- Practice address
- 804 Ferris Ave
Waxahachie, TX 75165-2554 - Phone
- (214) 336-9561
- NPI assigned
- Jan 28, 2011
- Last updated
- Jan 28, 2011
- 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 | 61900 | TX | Primary |
Addresses
Primary practice location
804 Ferris Ave
Waxahachie, TX 75165-2554
Mailing address
2551 N Mockingbird LN
Midlothian, TX 76065-4725
Phone (214) 336-9561
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61900 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1700182326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 N MOCKINGBIRD LN",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760654725",
"telephone_number": "214-336-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 FERRIS AVE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751652554",
"telephone_number": "214-336-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWELL-PENDER",
"first_name": "LEZLIE",
"middle_name": "MARY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "61900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.