ARCHIE PENDER LCAS-A NPI 1790113454

NPI Information

  • NPI: 1790113454
  • Provider Name: ARCHIE PENDER, LCAS-A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3709 NASH ST NW
    WILSON, NC
    ZIP 27896
  • Phone: (252) 206-5799

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NPI Details

Archie Pender, LCAS-A is an addiction (substance use disorder) counselor in Wilson, NC. Archie Pender, LCAS-A NPI is 1790113454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3709 NASH ST NW
WILSON, NC
ZIP 27896-127
Phone: (252) 206-5799
Fax: (252) 206-5778

The enumeration date for this NPI number is 10/16/2013 and was last updated on 6/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-21378NORTH CAROLINAYes
21041C0700XSocial WorkerClinicalP010209NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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