Active NPI 1073326518 Individual Practitioner Female Practitioner

Lisa Pendleton , PEER SUPPORT

Peer Specialist • Indio, CA

Professional Overview & Biography Verified Profile Summary

Lisa Pendleton, PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Indio, CA. Practice services are available at 47915 OASIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

47915 Oasis St

Indio, CA 922016950

Telephone 4422824909

Associated Practice Facility / Clinic

🏢 Telecare Corporation Facility NPI 1790196178

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Indio, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

111 Specialists

Practicing in Indio, CA (4567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-29

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-EBFQJL

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners

Aneth Sanchez

Licensed Vocational Nurse

NPI 1003789363

Derek Eason

Peer Specialist

NPI 1023995487

Mackenzie Van

Peer Specialist

NPI 1033971593

Martha Pena

Student in an Organized Health Care Education/Training Program

NPI 1063350379

Marilyn Baez

Student in an Organized Health Care Education/Training Program

NPI 1093603219

Lorena Herrera

Student in an Organized Health Care Education/Training Program

NPI 1104637495

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 29, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2025

Registered at 47915 OASIS ST, INDIO, CA 922016950 (Tel: 4422824909)

📍

Updated Business Mailing Address January 29, 2025

Registered at 47915 OASIS ST, INDIO, CA 922016950 (Tel: 4422824909)

👤

Provider Name / Credentials Updated January 29, 2025

Recorded as LISA PENDLETON, PEER SUPPORT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Peer Specialist (License #MPSS-EBFQJL in CA)

🟢

Initial NPI Registration & Enumeration January 29, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1073326518

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 29, 2025

Last Update: January 29, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

47915 Oasis St

Indio, CA 922016950

Phone: 4422824909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.