MR. EDWARD HAROLD PENDLETON (NPI# 1265437495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265437495 |
| Entity Type | Individual |
| Full Name | MR. EDWARD HAROLD PENDLETON |
| Credential | MA, LPC, LCDC |
| Practice Address |
2004 U S Highway 190 W Livingston TX 77351-9601 |
| Mailing Address |
Po Box 1047 Livingston TX 77351-0018 |
| Practice Telephone | 9363285880 |
| Practice Fax Number | 9363285883 |
| Mailing Telephone | 9363285880 |
| Mailing Fax Number | 9363285883 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 17475 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 7605707 | 01 |
| TX | VALUE OPTIONS | 551895 | 01 |
| TX | MAGELLAN | 719494000 | 01 |
| TX | BLUECROSS/BLUESHIELD | 6088LC | 01 |
| TX | CAQH PROVIDER ID | 11451816 | 01 |
| TX | 1508236-01 | 05 | |
| TX | CIGNA BEHAVIORAL HEALTH | 2119098 | 01 |
| TX | COMPCARE PROVIDER ID | PENDL-0002 | 01 |
| Street Address |
2004 U S HIGHWAY 190 W |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447724083 | Allison Gidley | Counselor | 124 S Main St Ofc 213, Livingston, MT 59047-2664 | 2019-01-16 |
| 1497244164 | Laura Ann Woods | Counselor | 29724 S. Magnolia St., Livingston, LA 70754 | 2018-05-08 |
| 1982054714 | Aliah Esmaeili-taplin | Counselor | 29437 Hwy.63, Ste. 14, Livingston, LA 70754 | 2016-06-13 |
| 1235457854 | Jennifer Cooper Bahler | Counselor | 201 S. Livingston Avenue, Suite 2f, Livingston, NJ 07039 | 2010-05-06 |
| 1770658999 | Stephanie Anne Miller | Counselor | 301 Us Hwy 59 South Loop, Suite C, Livingston, TX 77345 | 2006-11-22 |
| 1730285669 | James H Potter | Counselor | 8424 Fm 350 N, Livingston, TX 77351-6503 | 2006-09-16 |
| 1700878808 | Anna Lee Chancellor | Counselor | 511 E Pine Hill Dr, Livingston, TX 77351-2464 | 2005-08-16 |
| 1134768880 | George Grant | Counselor | 301 S Livingston Ave Fl 2, Livingston, NJ 07039-3932 | 2019-12-29 |
| 1861048167 | Simone Edwards | Counselor | 600 S Livingston Ave, Livingston, NJ 07039-5419 | 2019-08-13 |
| 1295398238 | Rachael Lynn Berringer | Counselor | 513 W Mount Pleasant Ave, Livingston, NJ 07039-1710 | 2019-04-16 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on MR. EDWARD HAROLD PENDLETON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.