Active NPI
Mechelle Gunther, LCPC
- School Psychologist
- Severna Park, MD
National Provider Identifier
1013186824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CER99975B8Z1N7
- Practice address
- 819 Ritchie Hwy
Severna Park, MD 21146-4197 - Phone
- (410) 431-5111
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC3353 | ME | |
| Professional Counselor | 101YP2500X | LC4019 | MD | |
| School Psychologist | 103TS0200X | CER99975B8Z1N7 | MD | Primary |
Addresses
Primary practice location
819 Ritchie Hwy
Severna Park, MD 21146-4197
Mailing address
3693 N Carolina Ave
Edgewater, MD 21037-3333
Phone (410) 212-8795
Other names 1
- Mechelle Renee Pennoyer
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC4019 | MD | MD | Professional Counselor |
| CC3353 | ME | MD | Professional Counselor |
| CER99975B8Z1N7 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1013186824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3693 N CAROLINA AVE",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210373333",
"telephone_number": "410-212-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 RITCHIE HWY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464197",
"telephone_number": "410-431-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTHER",
"first_name": "MECHELLE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3353",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4019",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CER99975B8Z1N7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MECHELLE",
"last_name": "PENNOYER",
"middle_name": "RENEE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.