MRS. KEANN PENDER
NPI 1215580055
Counselor - Mental Health in Staten Island, NY
About Mrs. Keann Pender NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KEANN PENDER (NPI 1215580055) is an individual mental health provider in Staten Island, New York, licensed in New York (006347) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elmhurst, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Keann Pender is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10306
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 Keann Pender's NPI number?
The NPI number for Keann Pender is 1215580055. It was assigned to this individual provider in the NPPES registry on July 22, 2019.
Where is Keann Pender located?
Keann Pender practices at 345 Guyon Ave Rm 14, Staten Island, NY 10306. The listed phone number is (914) 440-4670.
What is Keann Pender's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Keann Pender enrolled in Medicare?
Yes. Keann Pender is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Keann Pender was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mrs. Keann Pender · NPI 1215580055
Mental Health provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since July 22, 2019.
## Identity
- **NPI:** 1215580055 (Entity type: Individual)
- **Enumerated:** July 22, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 006347 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 345 GUYON AVE RM 14, Staten Island, NY 10306
- **Phone:** (914) 440-4670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215580055) · Data from the CMS NPPES public registry.