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Active NPI 1881138477 Individual Practitioner Male Practitioner

Ethan Pendleton , BIS

Counselor • Owensboro, KY

Professional Overview & Biography Verified Profile Summary

Ethan Pendleton, BIS is a registered healthcare professional specializing in Counselor in Owensboro, KY. Practice services are available at 1100 WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Walnut St

Owensboro, KY 423012956

Telephone 2706896578
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Owensboro, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
49 Specialists

Practicing in Owensboro, KY (1732 Statewide)

Telehealth Adoption Rate
2.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License KY 9585

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mallory Lutes

Counselor

NPI 1003273871
Sandra Jewell-Latta , LCSW

Social Worker - Clinical

NPI 1013955772

Licensed Clinical Social Worker

NPI 1023649928

Master of Arts

Michael Fulkerson , MAE, LPCC

Counselor - Professional

NPI 1033524236

MAE, Licensed Professional Clinical Counselor

Cheryl Elder , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033725353

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1043391261

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 1100 WALNUT ST, OWENSBORO, KY 423012956 (Tel: 2706896578)

📍
Updated Business Mailing Address December 15, 2016

Registered at 1107 S KENTUCKY AVE, EVANSVILLE, IN 477142737 (Tel: 2704854242)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as ETHAN PENDLETON, BIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Counselor (License #9585 in KY)

🟢
Initial NPI Registration & Enumeration December 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881138477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2016
Last Update: December 15, 2016
Sole Proprietor: No

Mailing Address

1107 S Kentucky Ave

Evansville, IN 477142737

Phone: 2704854242

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.