Jennifer Martin Pennington, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7957 Issued in NC

Practice address

2925 Audrey Dr
Gastonia, NC 28054-7269

Phone

(980) 484-2111

Fax

(704) 259-0480

NPI assigned

Oct 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jennifer Robyn Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Art of Therapy Center

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1043725195

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1063748705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 AUDREY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547269",
            "telephone_number": "980-484-2111",
            "fax_number": "704-259-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AUDREY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547269",
            "telephone_number": "980-484-2111",
            "fax_number": "704-259-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 W Marion St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505331",
            "country_code": "US",
            "telephone_number": "809-484-2111",
            "fax_number": "704-259-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JENNIFER",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7597",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARTIN",
            "middle_name": "ROBYN",
            "prefix": "MRS.",
            "credential": "B.S., MA, EDS,LCMHCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Nicole Pellerin, OTA
• Diane Pearl Pelletier, CNM
• Victoria Brown Pendergrass, LCMHCA
• Marcy Joann Pendleton, SLP
• Casaundria Penn
• Laura Peno-Green, MD
• Luke Pepper, PHARMD
• Paula A Perdiguero
• Cesar Augusto Perez
• Adrienne Brendell Perkins

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.