Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristy Ann Pendleton, LCSW

Individual provider Mental Health Counselor · NPI 1659797090

Kristy Ann Pendleton, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Luke and Spencer Behavioral Health PLLC, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1301 E 17th St
Idaho Falls, ID 83404-6273
Phone: (208) 538-3122
Fax: (208) 881-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 B St, Idaho Falls, ID 83402-3566 — (208) 524-4818

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW-34365 (ID)

Record details

NPI number1659797090
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 10, 2014
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Luke And Spencer Behavioral Health Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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