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Active NPI 1831575315 Individual Practitioner Male Practitioner

Evaristus Penda

Counselor - Professional • Moore, OK

Professional Overview & Biography Verified Profile Summary

Evaristus Penda is a registered healthcare professional specializing in Counselor - Professional in Moore, OK. Practice services are available at 1105 SW 30TH CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1105 Sw 30th Ct

Moore, OK 731602887

Telephone 4056765114
Associated Practice Facility / Clinic
🏢 Balance Women's Health, Llc Facility NPI 1790186385

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
38 Specialists

Practicing in Moore, OK (2681 Statewide)

Telehealth Adoption Rate
7.9% 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: 2025-12-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 10061

Definition to come...

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Nurse's Aide

NUCC Taxonomy Code: 376K00000X

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Katharine Raun , PA-C

Physician Assistant

NPI 1306497292

Physician Assistant (Certified)

Kelsey Ramey , MED, LPC

Counselor - Professional

NPI 1386353894

Master of Education, Licensed Professional Counselor

Dr. Bailey Vasquez , MD

Psychiatry & Neurology - Psychiatry

NPI 1417526815

Doctor of Medicine (M.D.)

Leah Logan , MS, LPC

Counselor - Professional

NPI 1518393693

Master of Science, Licensed Professional Counselor

Jorja Stevenson , APRN-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1740048875

APRNBC, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Patrick Horn , MD

Psychiatry & Neurology - Psychiatry

NPI 1841450855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 12, 2025

Registered at 1105 SW 30TH CT, MOORE, OK 731602887 (Tel: 4056765114)

📍
Updated Business Mailing Address December 12, 2025

Registered at 9500 SW 33RD ST, OKLAHOMA CITY, OK 731791212 (Tel: 4054084073)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2025

Counselor (License #10061 in OK)

NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2015

Registered at 5911 PARAMOUNT DR, OKLAHOMA CITY, OK 731627508 (Tel: 4054084073)

📍
Updated Business Mailing Address August 06, 2015

Registered at 5911 PARAMOUNT DR, OKLAHOMA CITY, OK 731627508 (Tel: 4054084073)

👤
Provider Name / Credentials Updated August 06, 2015

Recorded as EVARISTUS PENDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Adult Companion

🟢
Initial NPI Registration & Enumeration August 06, 2015

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: 1831575315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2015
Last Update: December 12, 2025
Sole Proprietor: Yes

Mailing Address

9500 Sw 33rd St

Oklahoma City, OK 731791212

Phone: 4054084073

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.