Individual provider Active NPI

Christy Pebler, LCSW

  • Mental Health Counselor
  • Lakehead, CA
National Provider Identifier
1982000444
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW129003 Issued in CA
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

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527000460 CA Practitioner - Clinical Social Worker 1759800493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW129003CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria CurrentSince Mar 6, 2025 Accepting new patients
Redding Rancheria CurrentSince Mar 6, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.