Active NPI
Christy Pebler, LCSW
- Mental Health Counselor
- Lakehead, CA
National Provider Identifier
1982000444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW129003
- Practice address
- 21383 Coleman St
Lakehead, CA 96051-9640 - Phone
- (530) 410-4701
- Fax
- (530) 710-1939
- NPI assigned
- Nov 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW129003 | CA | Primary |
Addresses
Primary practice location
21383 Coleman St
Lakehead, CA 96051-9640
Mailing address
21383 Coleman St
Lakehead, CA 96051-9640
Phone (530) 410-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250527000460 | CA | Practitioner - Clinical Social Worker | 1759800493 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW129003 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Life Practice Counseling Group | Past | Accepting new patients |
Locations
3305 Placer St
Ste B
Redding, CA 96001
Phone (530) 225-6805
1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Weaverville, CA
- NPI 1386164580
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1780423244
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1255653879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1982000444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21383 COLEMAN ST",
"city": "LAKEHEAD",
"state": "CA",
"postal_code": "960519640",
"telephone_number": "530-410-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21383 COLEMAN ST",
"city": "LAKEHEAD",
"state": "CA",
"postal_code": "960519640",
"telephone_number": "530-410-4701",
"fax_number": "530-710-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEBLER",
"first_name": "CHRISTY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW129003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakehead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.