LISA PENDLETON (NPI# 1548591878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548591878 |
| Entity Type | Individual |
| Full Name | LISA PENDLETON |
| Credential | M.S. |
| Practice Address |
4115 Boardwalk Dr Suite 100 Fort Collins CO 80525-5945 |
| Mailing Address |
2001 S Shields St Building D, Ste 203 Fort Collins CO 80526-1827 |
| Practice Telephone | 9704934580 |
| Practice Fax Number | 9707972859 |
| Mailing Telephone | 9704934580 |
| Mailing Fax Number | 9704934580 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 10267 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037905 | Lisa Pendleton | Massage Therapist | 18813 Sw Martinazzi Ave, Tualatin, OR 97062-6807 | 2014-06-10 |
| 1558494146 | Lisa Marie Pendleton | Physical Therapist | 3729 W Central Ave, Wichita, KS 67203-4925 | 2007-03-13 |
| Street Address |
4115 BOARDWALK DR SUITE 100 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124244751 | Amy Lynne Shull | Counselor | 4115 Boardwalk Dr, Fort Collins, CO 80525-5945 | 2007-04-18 |
| 1073157962 | Alix Renee Dinger | Social Worker | 4115 Boardwalk Dr, Fort Collins, CO 80525-5945 | 2019-11-04 |
| 1356850846 | Jodie Hight | Social Worker | 4115 Boardwalk Dr, Fort Collins, CO 80525-5945 | 2017-09-27 |
| 1003359316 | Monica Rowell | Counselor | 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5945 | 2016-11-18 |
| 1285090209 | Momentum Speech Therapy | Speech-Language Pathologist | 4115 Boardwalk Dr, Suite 200, Fort Collins, CO 80525-5945 | 2016-01-06 |
| 1003271297 | Wallace Counseling, LLC | Counselor | 4115 Boardwalk Dr, Suite 200, Fort Collins, CO 80525-5945 | 2015-12-15 |
| 1528438686 | Kiara Dixon | Counselor | 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5945 | 2015-10-01 |
| 1932501400 | Mary Questad | Counselor | 4115 Boardwalk Dr, Fort Collins, CO 80525-5945 | 2014-09-16 |
| 1457781346 | Heather Meyer | Counselor | 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5945 | 2013-11-14 |
| 1922433275 | Natalie Nelson | Counselor | 4115 Boardwalk Dr, Suite 200, Fort Collins, CO 80525-5945 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250009 | Even Flow Therapy LLC | Marriage & Family Therapist | 2409 Dalton Dr, Fort Collins, CO 80526-5353 | 2020-09-17 |
| 1770124679 | Melissa Rw George | Marriage & Family Therapist | 405 E Prospect Rd, Fort Collins, CO 80525-1058 | 2019-10-01 |
| 1558911669 | Shelly Annameier | Marriage & Family Therapist | 405 E Prospect Rd Ste 3, Fort Collins, CO 80525-1058 | 2019-09-19 |
| 1134685266 | Charlotte J Mckernan | Marriage & Family Therapist | 204 Walnut St Ste J, Fort Collins, CO 80524-4439 | 2019-02-13 |
| 1831667781 | Hannah Wurster | Marriage & Family Therapist | 149 W Oak St Ste 110, Fort Collins, CO 80524-7110 | 2018-11-08 |
| 1699243535 | Erandi Aguilar Herndon | Marriage & Family Therapist | 405 Mathews St Apt B, Fort Collins, CO 80524-7147 | 2018-11-08 |
| 1205322666 | The Family Center/la Familia | Marriage & Family Therapist | 309 Hickory St # 5, Fort Collins, CO 80524-1106 | 2018-07-09 |
| 1457843005 | Amy Lynn Ryk | Marriage & Family Therapist | 1531 Riverside Ave, Fort Collins, CO 80524-4387 | 2018-05-30 |
| 1699226969 | James O Compton | Marriage & Family Therapist | 6462 Tilden St, Fort Collins, CO 80528-7059 | 2016-10-20 |
| 1659720431 | Fred D Fuller | Marriage & Family Therapist | 3500 Jfk Pkwy Ste 210, Fort Collins, CO 80525-2635 | 2016-06-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on LISA 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.