| Amy E Pendergrass, LPCC | |
|
3575 Forest Lake Dr Ste 100, Green, OH 44685-8115 | |
| (330) 703-0105 | |
| Not Available |
| Full Name | Amy E Pendergrass |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 3575 Forest Lake Dr Ste 100, Green, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669003778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C2002216TRNE (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.2606161 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Counseling Services, Llc | 7214380724 | 12 |
| Entity Name | Compass Counseling Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780122168 PECOS PAC ID: 7214380724 Enrollment ID: O20240131004832 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E Pendergrass, LPCC 3575 Forest Lake Dr Ste 100, Green, OH 44685-8115 Ph: (330) 703-0105 | Amy E Pendergrass, LPCC 3575 Forest Lake Dr Ste 100, Green, OH 44685-8115 Ph: (330) 703-0105 |
Jennifer K Cramer, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3500 Massillon Rd Ste 270, Green, OH 44685 Phone: 330-353-9222 |
Carly Chapman, LPCC-S, LPAT Counselor Medicare: Medicare Enrolled Practice Location: 2811 Sweitzer Rd, Green, OH 44685 Phone: 330-756-1974 Fax: 330-913-0581 |
Amos Wayne Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3730 Tabs Dr Ste 100, Green, OH 44685 Phone: 330-595-2039 |
Michael Warner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3575 Forest Lake Dr Ste 100, Green, OH 44685 Phone: 330-703-0105 |
Christian Gambol, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3500 Massillon Rd Ste 420, Green, OH 44685 Phone: 330-752-0910 |
Suzanne Van Nostran, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 3661 Arlington Rd Ste D, Green, OH 44685 Phone: 330-595-4628 |
Ashley Renee Christine Sager, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 Corporate Woods Pkwy Ste 300, Green, OH 44685 Phone: 330-915-2451 |