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ARCHIE PENDER LCAS-A
NPI 1790113454
Counselor - Addiction (Substance Use Disorder) in Wilson, NC

Active since October 16, 2013
3709 NASH ST NW, WILSON, NC 27896(252) 206-5799(252) 206-5778 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Archie Pender Lcas-a NPPES

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

ARCHIE PENDER LCAS-A (NPI 1790113454) is an individual addiction (substance use disorder) provider in Wilson, North Carolina, licensed in North Carolina (LCAS-21378) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1790113454
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameARCHIE PENDERCredential: LCAS-A
Location Address3709 NASH ST NWWilson, NC 27896-1127
Mailing Address4354 Pine Tree CtWilson, NC 27893-8590 · (252) 363-1675 · Fax (252) 206-5778
Phone(252) 206-5799
Fax(252) 206-5778
Sole ProprietorNo
Enumeration DateOctober 16, 2013
Last NPPES UpdateJune 25, 2019
✔ NPI 1790113454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-21378
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P010209 (NC)
3709 NASH ST NW, Wilson, NC 27896
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Other Providers at the Same Location NPPES 7

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

PRINCE U UZUKA LCAS-A
Counselor (Addiction (Substance Use Disorder))
3709 NASH ST NW
WILSON, NC 27896
Wilson County (185) 540-5144
MICHELLE C SMITH MS, LCAS, CCS
Counselor (Addiction (Substance Use Disorder))
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799
JUDITH MCCALL CSAC
Counselor (Addiction (Substance Use Disorder))
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799
ASIA D CALDWELL
Counselor (Addiction (Substance Use Disorder))
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799
WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Community/Behavioral Health
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799
MELISSA HAMILTON MS, LPC, LCAS
Counselor (Mental Health)
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799
STUART EDWARD SMALL LCMHC, LCAS, CCS-I
Counselor (Addiction (Substance Use Disorder))
3709 NASH ST NW
WILSON, NC 27896
Wilson County (252) 206-5799

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 Archie Pender's NPI number?

The NPI number for Archie Pender is 1790113454. It was assigned to this individual provider in the NPPES registry on October 16, 2013.

Where is Archie Pender located?

Archie Pender practices at 3709 Nash St NW, Wilson, NC 27896. The listed phone number is (252) 206-5799.

What is Archie Pender's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Archie Pender was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.