JODY PENDLETON PSYD, LLC
NPI 1649660184
Counselor - Professional in Canon City, CO

Active since February 04, 2015
2480 HIGH ST, CANON CITY, CO 81212(719) 251-0773 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jody Pendleton Psyd, Llc NPPES

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

JODY PENDLETON PSYD, LLC (NPI 1649660184) is a healthcare organization registered as a professional in Canon City, Colorado and active in the NPI registry since February 2015. The organization lists Jody L Pendleton, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1649660184
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJODY PENDLETON PSYD, LLC
Location Address2480 HIGH STCanon City, CO 81212-8746
Mailing Address2480 High StCanon City, CO 81212-8746 · (719) 251-0773
Organization SubpartNo
Authorized OfficialJody L PendletonLicensed Professional Counselor · (719) 251-0773
Enumeration DateFebruary 4, 2015
NPI 1649660184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · 2859
2480 HIGH ST, Canon City, CO 81212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Professional)
2480 HIGH ST
CANON CITY, CO 81212

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 Jody Pendleton Psyd, LLC's NPI number?

The NPI number for Jody Pendleton Psyd, LLC is 1649660184. It was assigned to this organization in the NPPES registry on February 4, 2015.

Where is Jody Pendleton Psyd, LLC located?

Jody Pendleton Psyd, LLC is located at 2480 High St, Canon City, CO 81212. The listed phone number is (719) 251-0773.

What is Jody Pendleton Psyd, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jody Pendleton Psyd, LLC was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.