Active NPI
Porshea Pendleton, M.A, LMFT, CADC I
- Marriage & Family Therapist
- Eugene, OR
National Provider Identifier
1811104359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0709
- Practice address
- 767 Willamette St
306
Eugene, OR 97401-2952 - Phone
- (541) 485-1167
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0709 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07-12-38 | OR |
Addresses
Primary practice location
767 Willamette St
306
Eugene, OR 97401-2952
Mailing address
767 Willamette St
306
Eugene, OR 97401-2952
Phone (541) 485-1167
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0709 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & P Therapeutic Counseling Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1922365832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1811104359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 WILLAMETTE ST",
"address_2": "306",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012952",
"telephone_number": "541-485-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 WILLAMETTE ST",
"address_2": "306",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012952",
"telephone_number": "541-485-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "PORSHEA",
"name_prefix": "Ms.",
"credential": "M.A, LMFT, CADC I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0709",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "07-12-38",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.