Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY E PENDERGRASS, LPCC
ActiveAMY E PENDERGRASS, LPCC is a Mental Health Counselor healthcare provider located in GREEN, Ohio. NPI 1669003778 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GREEN, OH
Registration Details
- NPI Number
- 1669003778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2020 (6.5191600904516 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
C2002216TRNE (OH)E.2606161 (OH)
Practice Information
- Address
-
3575 FOREST LAKE DR STE 100GREEN, OH, 446858115Browse OH providers · Browse ZIP 44685
- Phone
- 3307030105
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.