Individual provider Active NPI

Richard Ray Pendleton Sr., MS, LIMHP, LPC, NCC

  • Mental Health Counselor
  • Lexington, NE
National Provider Identifier
1821143512
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP 1050 Issued in NE
Practice address
307 E 5TH St
Lexington, NE 68850-2110
Phone
(308) 324-6754
NPI assigned
Jan 24, 2007
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1876 NE
Mental Health Counselor 101YM0800X 3534 NE
Mental Health Counselor 101YM0800X LIMHP 1050 NE Primary

Addresses

Primary practice location

307 E 5TH St
Lexington, NE 68850-2110

Mailing address

PO Box 519
Lexington, NE 68850-0519
Phone (308) 324-6754

Other practice location 1

401 West 1st
Heartland Counseling
Ogallala, NE 69153
Phone (308) 284-6767 ext. 206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129002258 NE Practitioner - Mental Health Counselor 4385097104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Region II Human ServicesGroup PAC ID 0143280651, 15 clinicians

Practice addresses (Care Compare)

1012 W 3Rd St
MC Cook, NE 69001-2527
Phone (308) 345-2770

110 N Bailey Ave
North Platte, NE 69101-5436
Phone (308) 534-6029

307 E
5TH Heartland Counseling
Lexington, NE 68850-2110
Phone (308) 324-6754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1876NEMDMental Health Counselor
LIMHP 1050NEMDMental Health Counselor
1050NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Region II Human Services CurrentSince Jan 1, 2024 Accepting new patients
Region II Human Services CurrentSince Jan 1, 2024 Accepting new patients
Region II Human Services Current Accepting new patients
Region II Human Services PastSince Jan 31, 2021 Accepting new patients

Locations

307 E 5th St
Lexington, NE 68850
Phone (308) 324-6754

1012 W 3rd St
McCook, NE 69001
Phone (308) 345-2770

110 N Bailey Ave
North Platte, NE 69101
Phone (308) 532-4860

401 W 1st St
Ogallala, NE 69153
Phone 3082846767 ext. 206

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1821143512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500519",
            "telephone_number": "308-324-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 5TH ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688502110",
            "telephone_number": "308-324-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 West 1st",
            "address_2": "Heartland Counseling",
            "address_purpose": "LOCATION",
            "city": "Ogallala",
            "state": "NE",
            "postal_code": "69153",
            "country_code": "US",
            "telephone_number": "308-284-6767 x206",
            "fax_number": "308-284-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "RICHARD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS, LIMHP, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1876",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3534",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LIMHP 1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.