Kathy Pender, LPCC CCDC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0000976 Issued in OH

Practice address

3690 Orange PL Ste 410
Beachwood, OH 44122-4465

Phone

(216) 464-3666

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conway Counseling LLC

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1144552779
  NPD (past)
• Mindful Medicine, Inc.

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1962681932
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730232406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 410",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-464-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 410",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-464-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "KATHY",
        "credential": "LPCC CCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0000976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Partners of Cleveland, Inc.
• Pediatric Place, Inc
• Gabriele Pedicelli, M.D.
• Karen Peereboom, CNP
• Brittany Peleg
• Scott D. Pendergast, M.D.
• Laura Nikole Erskine Penix, AGACNP
• Emily E Pensky, LISW
• Alyssa Perchinske, APRN-CNP
• Amanda Perdomo

• Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.