Individual
MS. KISHA ANN PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3972
LA
101YM0800X
Mental Health Counselor
3972
LA
101YP2500X
Professional Counselor
Primary
3972
LA
103K00000X
Behavior Analyst
3972
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3972
LCSW
LA
Enumeration date
07/18/2013
Last updated
07/18/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up