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General NPI Number Information
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NPI Number | 1609784107
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Entity Type | Organization
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Legal Business Name | JPENDARVIS COUNSELING
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 10000 W 75TH ST STE 114
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City | OVERLAND PARK
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State | KS
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Zip | 66204-2241
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Country | US
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Telephone | 816-809-6332
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Fax |
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Provider Business Mailing Address
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Address Line | 7602 RUSSELL LN
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City | OVERLAND PARK
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State | KS
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Zip | 66204-3180
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Country | US
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Telephone | 816-809-6332
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PROFESSIONAL COUN
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Name | JENNIFER LEIGH PENDARVIS
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Credential | LCPC
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Telephone | 816-809-6332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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