KRISTY ANN PENDLETON LCSW
NPI 1659797090
Counselor - Mental Health in Idaho Falls, ID

Q: What is Kristy Pendleton's NPI number?

The NPI number for Kristy Pendleton is 1659797090. It was assigned to this individual provider in the NPPES registry on March 10, 2014.

Q: What is Kristy Pendleton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Pendleton was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 10, 2014PECOS EnrolledAccepts Medicare Assignment

1301 E 17TH ST, IDAHO FALLS, ID 83404(208) 538-3122(208) 881-5295 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristy Ann Pendleton Lcsw NPPES

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

KRISTY ANN PENDLETON LCSW (NPI 1659797090) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LCSW-34365) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659797090

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKRISTY ANN PENDLETONCredential: LCSW

Location Address1301 E 17TH STIdaho Falls, ID 83404-6273

Mailing Address3656 E Vision DrIdaho Falls, ID 83401-5045 · (208) 313-7449

Phone(208) 538-3122

Fax(208) 881-5295

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 10, 2014

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1659797090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · LCSW-34365

1301 E 17TH ST, Idaho Falls, ID 83404

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Secondary Practice Location 1

Location 1255 B StIdaho Falls, ID 83402-3566 · Phone (208) 524-4818 · Fax (208) 522-6630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, University of Utah Health Plans.Insurance ›

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

Kristy Ann Pendleton Lcsw 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.

PECOS PAC ID6709184518

PECOS Enrollment IDI20160816000424

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.

Other Providers at the Same Location NPPES 12

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

MR. BRANDON LEON LARSEN PA-C

Physician Assistant (Medical)