Shelby Reed Pennick, MS, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

278242 Issued in KY

Practice address

110 Village Dr
Elizabethtown, KY 42701-2423

Phone

(270) 594-1199

NPI assigned

Jan 11, 2022

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1073264172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HAVANA CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118852",
            "telephone_number": "502-219-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012423",
            "telephone_number": "270-594-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Ashwood Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427014908",
            "country_code": "US",
            "telephone_number": "270-216-2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNICK",
        "first_name": "SHELBY",
        "middle_name": "REED",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "260470",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "278242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayleigh Pence, APRN
• Edna Jean Pence, CNM
• John Morrell Pendleton, M.D.
• Amanda Nicole Pendragon, APRN
• Katleyn Penner
• Jason Lee Perdue
• Tara Perdue, PA
• Angela Carol Peters
• Vanessa Peters, LCSW
• Christine K. Pham, MD

• Professional Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.