Active NPI
Karen Pendleton
- Clinical Social Worker
- Orem, UT
National Provider Identifier
1720614258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11319891-3501
- Practice address
- 388 W Center St
Orem, UT 84057-4659 - Phone
- (801) 960-3131
- Fax
- (800) 785-2607
- NPI assigned
- Mar 16, 2020
- Last updated
- Jan 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11319891-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 11319891-3501 | UT | Primary |
Addresses
Primary practice location
388 W Center St
Orem, UT 84057-4659
Mailing address
1881 N 1120 W
Provo, UT 84604-1180
Phone (435) 248-2089
Other practice location 1
1881 N 1120 W
Provo, UT 84604-1180
Phone (435) 248-2089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2026 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11319891-3501 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindled Light Therapy and Wellness | Mental Health | Past | Accepting new patients |
| Etherios, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Provo, UT
- NPI 1295463578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1720614258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 N 1120 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846041180",
"telephone_number": "435-248-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 W CENTER ST",
"city": "OREM",
"state": "UT",
"postal_code": "840574659",
"telephone_number": "801-960-3131",
"fax_number": "800-785-2607"
}
],
"practiceLocations": [
{
"address_1": "1881 N 1120 W",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846041180",
"country_code": "US",
"telephone_number": "435-248-2089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDLETON",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11319891-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11319891-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.