EVARISTUS PENDA
NPI 1831575315
Counselor - Professional in Moore, OK

Active since August 06, 2015
1105 SW 30TH CT, MOORE, OK 73160(405) 676-5114 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evaristus Penda NPPES

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

EVARISTUS PENDA (NPI 1831575315) is an individual professional provider in Moore, Oklahoma, licensed in Oklahoma (10061) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1831575315
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEVARISTUS PENDA
Location Address1105 SW 30TH CTMoore, OK 73160-2887
Mailing Address9500 Sw 33rd StOklahoma City, OK 73179-1212 · (405) 408-4073
Sole ProprietorYes
Enumeration DateAugust 6, 2015
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1831575315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 10061
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedNurse's AideTaxonomy 376K00000X
1105 SW 30TH CT, Moore, OK 73160

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Physician Assistant
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Social Worker (Clinical)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160

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 Evaristus Penda's NPI number?

The NPI number for Evaristus Penda is 1831575315. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Evaristus Penda located?

Evaristus Penda practices at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 676-5114.

What is Evaristus Penda'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 Evaristus Penda was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.