Deborah Pendleton Ollis, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2824 Issued in NC

Practice address

1306 Bowman Avenue Ext
Morganton, NC 28655-9571

Phone

(828) 437-6019

Fax

(828) 437-6019

NPI assigned

Jan 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Kids First Counseling

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1235301516
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1972656304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 BOWMAN AVENUE EXT",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559571",
            "telephone_number": "828-437-6019",
            "fax_number": "828-437-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BOWMAN AVENUE EXT",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559571",
            "telephone_number": "828-437-6019",
            "fax_number": "828-437-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIS",
        "first_name": "DEBORAH",
        "middle_name": "PENDLETON",
        "name_prefix": "Mrs.",
        "credential": "MA,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102075",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin O'Donnell, RD, LDN
• Amelia Jayne O'Neill, PH.D.
• Lacey Nicole O'Rourke
• Alexander Noah Ofisa II
• Todd Eric Ogrodowczyk, M.D.
• Kimberly Lowman Ollis, LPC
• Michelle Leigh Ollis, DNP, FNP-BC
• Katherine Olsen, LCSWA
• Daniel Olson, M.D.
• Omni Visions, Inc.

• Professional Counselor in Morganton, NC
• Providers in Morganton, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.