Individual provider Active NPI

Elizabeth Pennington, LPC, RPT, EMDR CERT

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1083201131
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77848 Issued in TX
Practice address
27240 Highway 290
Cypress, TX 77433-4907
Phone
(409) 292-9170
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77848 TX Primary

Addresses

Primary practice location

27240 Highway 290
Cypress, TX 77433-4907

Mailing address

17002 Makanda Dr
Cypress, TX 77433-5072
Phone (210) 262-9902

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

LicenseStateTypeSpecialty
77848TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Camper Child and Family Therapy Current Accepting new patients
Fairfield Baptist CurrentSince Dec 27, 2020 Accepting new patients

Locations

27240 Highway 290
Cypress, TX 77433
Phone (281) 705-4306

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.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1083201131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17002 MAKANDA DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335072",
            "telephone_number": "210-262-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27240 HIGHWAY 290",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334907",
            "telephone_number": "409-292-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ELIZABETH",
        "credential": "LPC, RPT, EMDR CERT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.