Individual provider Active NPI

Lee Ann Penman, ASSOC LISC COUNSELOR

  • Counselor
  • Huntsville, AL
National Provider Identifier
1003959826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C1174A Issued in AL
Practice address
7500 Memorial Pkwy SW Ste 215C
Huntsville, AL 35802-2200
Phone
(256) 883-3231
Fax
(256) 883-9577
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1174A AL Primary

Addresses

Primary practice location

7500 Memorial Pkwy SW Ste 215C
Huntsville, AL 35802-2200

Mailing address

7500 Memorial Pkwy SW Ste 215C
Huntsville, AL 35802-2200
Phone (256) 883-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C1174AALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003959826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MEMORIAL PKWY SW STE 215C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022200",
            "telephone_number": "256-883-3231",
            "fax_number": "256-883-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MEMORIAL PKWY SW STE 215C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022200",
            "telephone_number": "256-883-3231",
            "fax_number": "256-883-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMAN",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "ASSOC LISC COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C1174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.