Carlotta R Pender, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004875 Issued in GA

Practice address

107 Ardmore PL NW
#12
Atlanta, GA 30309-1835

Phone

(404) 449-7584

NPI assigned

Mar 27, 2011

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

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.

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301184000000",
    "number": "1851690036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ARDMORE PL NW",
            "address_2": "#12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091835",
            "telephone_number": "404-749-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ARDMORE PL NW",
            "address_2": "#12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091835",
            "telephone_number": "404-449-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "CARLOTTA",
        "middle_name": "R",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Thomas Pence, O.D.
• Laura Pencea
• Viorica Mihaela Pencea, MD
• Amanda Pencek, RDN
• Bojana Borislavova Pencheva, GENETIC COUNSELOR
• Kirstin Pender, PA-C
• Caroline Goodall Pendergrast, PT
• W. Jefferson Pendergrast Jr., M.D.
• Albert Martin Pendleton, M.D.
• Eugene Banks Pendleton III, M.D.

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.