AMY E PENDERGRASS LPCC
NPI 1669003778
Counselor - Mental Health in Green, OH

Active since January 28, 2020PECOS EnrolledAccepts Medicare Assignment
3575 FOREST LAKE DR STE 100, GREEN, OH 44685(330) 703-0105 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, May 23, 2023, Feb 2, 2022 and 1 more (4 updates tracked since 2020).

About Amy E Pendergrass Lpcc NPPES

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

AMY E PENDERGRASS LPCC (NPI 1669003778) is an individual mental health provider in Green, Ohio, licensed in Ohio (E.2606161) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669003778
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY E PENDERGRASSCredential: LPCC
Location Address3575 FOREST LAKE DR STE 100Green, OH 44685-8115
Mailing Address3575 Forest Lake Dr Ste 100Green, OH 44685-8115 · (330) 703-0105
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 28, 2020
Last NPPES UpdateJanuary 14, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1669003778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OH · E.2606161
Also ListedCounselorTaxonomy 101Y00000X · License C2002216TRNE (OH)
3575 FOREST LAKE DR STE 100, Green, OH 44685

Accepted 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

Amy E Pendergrass Lpcc 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 ID42797607
PECOS Enrollment IDI20260126001030
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 14

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

Counselor (Mental Health)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Mental Health)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Marriage & Family Therapist
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Professional)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Mental Health)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Professional)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Professional)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685
Counselor (Mental Health)
3575 FOREST LAKE DR STE 100
UNIONTOWN, OH 44685

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 Amy Pendergrass's NPI number?

The NPI number for Amy Pendergrass is 1669003778. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Amy Pendergrass located?

Amy Pendergrass practices at 3575 Forest Lake Dr Ste 100, Green, OH 44685. The listed phone number is (330) 703-0105.

What is Amy Pendergrass's specialty?

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

Is Amy Pendergrass enrolled in Medicare?

Yes. Amy Pendergrass 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.

What insurance does Amy Pendergrass accept?

Health plans from Providence Health Plan list Amy Pendergrass 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 Amy Pendergrass was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.