Active NPI
Anthony G Penta, B.S.
- Counselor
- Taunton, MA
National Provider Identifier
1073839726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S68124815
- Practice address
- 35 Summer St
202A
Taunton, MA 02780-3469 - Phone
- (508) 207-8819
- Fax
- (508) 884-2476
- NPI assigned
- Apr 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S68124815 | MA | Primary |
Addresses
Primary practice location
35 Summer St
202A
Taunton, MA 02780-3469
Mailing address
35 Summer St
202A
Taunton, MA 02780-3469
Phone (508) 207-8819
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S68124815 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Resource Institute | Past | Accepting new patients | |
| Justice Resource Institute | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Taunton, MA
- NPI 1467782938
-
- Community/Behavioral Health Agency
- Taunton, MA
- NPI 1851625420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1073839726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SUMMER ST",
"address_2": "202A",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803469",
"telephone_number": "508-207-8819",
"fax_number": "508-884-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SUMMER ST",
"address_2": "202A",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803469",
"telephone_number": "508-207-8819",
"fax_number": "508-884-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTA",
"first_name": "ANTHONY",
"middle_name": "G",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S68124815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.