Victoria Pennant, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010608 Issued in VA

Practice address

7960 Donegan Dr Ste 200
Manassas, VA 20109-8236

Phone

(833) 587-8825

Fax

(757) 970-0274

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.victoriapennant@134000.advancedmd-direct.com
• Direct secure messaging: victoria.pennant.1@8042.direct.athenahealth.com

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.

• Family Insight Inc

  • Behavior Analyst
  • Richmond, VA
  • NPI 1194996280

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1104496512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527361",
            "telephone_number": "757-694-4723",
            "fax_number": "757-301-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "833-587-8825",
            "fax_number": "757-970-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNANT",
        "first_name": "VICTORIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatricare of Northern Virginia, P.C.
• Pediatrix Medical Group PC
• Kevin Edward Peltier I, MD
• Nicole Penke, MD
• Anna Penna, MD
• Tricia Marie Carr Peny, MPT
• Caitilin Perez, MFN, RDN
• Katherine Michele Perez, LPC
• Michael D Perez, M.D.
• Nydia Perez, BCBA, LBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.