Individual provider · Type 1 NPI

Amy E. Pendergrass, LPCC

Mental Health Counselor · Green, OH

NPI number 1669003778 Active

Practice location

3575 Forest Lake Dr Ste 100
Green, OH 44685-8115

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XC2002216TRNE (OH)
Mental Health Counselor Primary 101YM0800XE.2606161 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1669003778

Amy E. Pendergrass, LPCC's National Provider Identifier is 1669003778, issued on Jan 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green, OH. The record was last updated on Jan 14, 2026.