Penny Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6007 Issued in MS

Practice address

2504 Browning Road 520 # 1505
Greenwood, MS 38930-6022

Phone

(662) 453-6211

NPI assigned

Apr 10, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1114712148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E CHURCH ST",
            "city": "DUCK HILL",
            "state": "MS",
            "postal_code": "389259415",
            "telephone_number": "662-809-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD 520 # 1505",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-453-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi CVS Pharmacy, L.L.C.
• Mississippi Diversified Healthcare
• Mississippi State Department of Health
• Mississippi Surgical Specialties Center PA
• India Alexander Mitchell
• Antoinette Parks Montgomery, PCMHT
• Moore Tranport Services MTS LLC
• Frederick Earl Moore Jr.
• Shenitta Moore
• Trina Denise Moore, R.N.

• Mental Health Counselor in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.