Healthcare Provider Details

I. General information

NPI: 1184365660
Provider Name (Legal Business Name): PENDLETON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W STATE ST
PENDLETON IN
46064-1063
US

IV. Provider business mailing address

207 W STATE ST
PENDLETON IN
46064-1063
US

V. Phone/Fax

Practice location:
  • Phone: 765-221-1082
  • Fax: 765-374-0451
Mailing address:
  • Phone: 765-221-1082
  • Fax: 765-374-0451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1003335092
Identifier TypeOTHER
Identifier StateIN
Identifier IssuerNPI
# 2
Identifier1356899934
Identifier TypeOTHER
Identifier StateIN
Identifier IssuerNPI

VIII. Authorized Official

Name: LINDSEY LAWRENCE
Title or Position: OWNER
Credential: LCSW
Phone: 765-221-1082