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WENDY PETHYBRIDGE MA, MS
NPI 1073052908
Counselor in Goodyear, AZ

Active since February 12, 2017PECOS Enrolled
17547 W BUCHANAN ST, GOODYEAR, AZ 85338(253) 257-5177(315) 546-2406 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2025, Jun 10, 2021, Sep 6, 2019 and 1 more (4 updates tracked since 2017).

About Wendy Pethybridge Ma, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY PETHYBRIDGE MA, MS (NPI 1073052908) is an individual counselor in Goodyear, Arizona and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073052908
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameWENDY PETHYBRIDGECredential: MA, MS
Location Address17547 W BUCHANAN STGoodyear, AZ 85338-2575
Mailing Address17547 W Buchanan StGoodyear, AZ 85338-2575 · (253) 257-5177 · Fax (315) 546-2406
Phone(253) 257-5177
Fax(315) 546-2406
Sole ProprietorYes
Enumeration DateFebruary 12, 2017
Last NPPES UpdateNovember 12, 20254 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1073052908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
17547 W BUCHANAN ST, Goodyear, AZ 85338
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18407 234th Ave EBuckley, WA 98321-9432 · Phone (253) 257-5177 · Fax (315) 546-2406
Location 21822 County Route 6 Lot A15Fulton, NY 13069-4069 · Phone (980) 333-5456 · Fax (315) 546-2406

Other Identifiers 1

Medicaid2176663WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Cigna HealthCare of Arizona, Inc, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy Pethybridge Ma, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wendy Pethybridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing And Empowering Life Coaching And Psychological Service
1,075 mi
Counselor
8407 234TH AVE E
Buckley, WA 98321
  • Reassigned Medicare billing, Arizona enrollment
NPI 1699368217 (253) 257-5177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOLIE M POTTER LMHCA
Counselor
17547 W BUCHANAN ST
GOODYEAR, AZ 85338
Maricopa County (253) 257-5177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Pethybridge's NPI number?

The NPI number for Wendy Pethybridge is 1073052908. It was assigned to this individual provider in the NPPES registry on February 12, 2017.

Where is Wendy Pethybridge located?

Wendy Pethybridge practices at 17547 W Buchanan St, Goodyear, AZ 85338. The listed phone number is (253) 257-5177.

What is Wendy Pethybridge's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Wendy Pethybridge enrolled in Medicare?

Yes. Wendy Pethybridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wendy Pethybridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Pethybridge reassigns Medicare benefits to Healing And Empowering Life Coaching And Psychological Service (Buckley, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wendy Pethybridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendy Pethybridge accept?

Health plans from Ambetter Health, Cigna HealthCare of Arizona, Inc, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Wendy Pethybridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wendy Pethybridge was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.