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

Mrs. Keann Pender

Individual provider Mental Health Counselor · NPI 1215580055

Mrs. Keann Pender is a Mental Health Counselor in Staten Island, New York. Qualified in 2019, 7 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

345 Guyon Ave Rm 14
Staten Island, NY 10306
Phone: (914) 440-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4130 75th St, Elmhurst, NY 11373-1986 — (516) 439-7552

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 006347 (NY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215580055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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