Evaristus Penda, - Counselor in Moore, OK

Evaristus Penda, is a Counselor - Professional based in Moore, Oklahoma. Evaristus Penda is licensed to practice in Oklahoma (license number 10061) and his current practice location is 1105 Sw 30th Ct, Moore, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 676-5114.

NPI number for Evaristus Penda is 1831575315 and his current mailing address is 9500 Sw 33rd St, Oklahoma City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831575315.

Contact Information

Evaristus Penda,
1105 Sw 30th Ct,
Moore, OK 73160-2887
(405) 676-5114
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEvaristus Penda
GenderMale
SpecialityCounselor - Professional
Location1105 Sw 30th Ct, Moore, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831575315
  • Provider Enumeration Date: 08/06/2015
  • Last Update Date: 12/12/2025

Medical Identifiers

Medical identifiers for Evaristus Penda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831575315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 10061 (Oklahoma)Primary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
372600000XAdult Companion (* (Not Available))Secondary
376K00000XNurse's Aide (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evaristus Penda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evaristus Penda,
9500 Sw 33rd St,
Oklahoma City, OK 73179-1212

Ph: (405) 408-4073
Evaristus Penda,
1105 Sw 30th Ct,
Moore, OK 73160-2887

Ph: (405) 676-5114

Reviews and Comments


Counselor in Moore, OK

Danna Cobble, LPC
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Cathy L Hasenbeck,
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Lauren Harlow, LPC CANDIDATE
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Sandra J. Reneau, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 412 N Telephone Rd, Moore, OK 73160
Phone: 405-794-5552    Fax: 405-759-2402
Karla Denise Trumbull,
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Medicare: Not Enrolled in Medicare
Practice Location: 201 S Wyndemere Lakes Dr, Moore, OK 73160
Phone: 405-793-9435    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.