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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALISON EMILY PENDERGAST LCPC
NPI 1700456431
Counselor - Professional in Peoria, IL

Active since June 25, 2021PECOS Enrolled
1701 W GARDEN ST, PEORIA, IL 61605(309) 680-7600 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alison Emily Pendergast Lcpc NPPES

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

ALISON EMILY PENDERGAST LCPC (NPI 1700456431) is an individual professional provider in Peoria, Illinois, licensed in Illinois (178.015825) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700456431
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALISON EMILY PENDERGASTCredential: LCPC
Location Address1701 W GARDEN STPeoria, IL 61605-3531
Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7600
Phone(309) 680-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 25, 2021
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1700456431 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 IL · 178.015825
1701 W GARDEN ST, Peoria, IL 61605
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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

Alison Emily Pendergast Lcpc 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 ID9335661644
PECOS Enrollment IDI20250317001169
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.

SARAH R KOSCICA MD
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
EDWARD E ETHERTON NP
Nurse Practitioner
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
MARCUS ISMEDHI MUTIDJO APN
Nurse Practitioner (Family)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
DAVID L GORENZ M.D.
Internal Medicine (Pulmonary Disease)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
DR. BONNIE SMITH M.D.
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
BRADEN WILLIAMS PA
Physician Assistant
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
ANGELA WILSON PMHNP-BC
Registered Nurse (Psychiatric/Mental Health)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600

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 Alison Pendergast's NPI number?

The NPI number for Alison Pendergast is 1700456431. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Alison Pendergast located?

Alison Pendergast practices at 1701 W Garden St, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is Alison Pendergast's specialty?

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

Is Alison Pendergast enrolled in Medicare?

Yes. Alison Pendergast 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 Alison Pendergast was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.