Active NPI 1265437495 Individual Practitioner Male Practitioner

Edward Harold Pendleton , MA, LPC, LCDC

Counselor • Livingston, TX

Professional Overview & Biography Verified Profile Summary

Edward Pendleton, MA, LPC, LCDC is a registered healthcare professional specializing in Counselor in Livingston, TX. Practice services are available at 2004 U S HIGHWAY 190 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2004 U S Highway 190 W

Livingston, TX 773519601

Telephone 9363285880

Fax 9363285883

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Livingston, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Livingston, TX (3454 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 17475

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1508236-01 (TX)

Commercial Insurance / Payer ID Cigna Behavioral Health

2119098 (TX)

Commercial Insurance / Payer ID Aetna

7605707 (TX)

Commercial Insurance / Payer ID Compcare Provider Id

PENDL-0002 (TX)

Commercial Insurance / Payer ID Caqh Provider Id

11451816 (TX)

Commercial Insurance / Payer ID Value Options

551895 (TX)

Commercial Insurance / Payer ID Magellan

719494000 (TX)

Commercial Insurance / Payer ID Bluecross/blueshield

6088LC (TX)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 02, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2012

Registered at 2004 U S HIGHWAY 190 W, LIVINGSTON, TX 773519601 (Tel: 9363285880)

📍

Updated Business Mailing Address February 02, 2012

Registered at PO BOX 1047, LIVINGSTON, TX 773510018 (Tel: 9363285880)

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Provider Name / Credentials Updated February 02, 2012

Recorded as EDWARD PENDLETON, MA, LPC, LCDC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2012

Counselor (License #17475 in TX)

🟢

Initial NPI Registration & Enumeration June 15, 2005

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: 1265437495

Entity Type:

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

Enumeration Date: June 15, 2005

Last Update: February 02, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1047

Livingston, TX 773510018

Phone: 9363285880

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.