Anthony Penn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005736 Issued in VA

Practice address

2625 Colgrave Rd
Midlothian, VA 23112-3768

Phone

(804) 301-9219

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1013393743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 CHAMBERLAYNE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272407",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 COLGRAVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123768",
            "telephone_number": "804-301-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peds Care LTD
• Peers 4 Success LLC
• John Stephen Peery, O.D.
• James V Pellicane Jr., MD, FACS
• Kathleen Ann Peltz, P.A.
• Latonia Faye Penn, LPTA
• Catherine Pennino
• Robert N Penterson, D.D.S.
• Claiborne Tucker Perdue III, NP-C
• Jenna Perez, BCBA, LBA

• Professional Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.