Individual provider Active NPI

Pennie J Linna

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1124202650
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3124-125 Issued in WI
Practice address
410 S Walnut St
Appleton, WI 54911-5920
Phone
(920) 832-4741
Fax
(920) 832-2185
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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 3124-125 WI Primary

Addresses

Primary practice location

410 S Walnut St
Appleton, WI 54911-5920

Mailing address

410 S Walnut St
Appleton, WI 54911-5920
Phone (920) 832-4741

Other identifiers 1

IdentifierTypeStateIssuer
43574800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20251002002251 WI Practitioner - Mental Health Counselor 8325544943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 S Walnut St
Appleton, WI 54911-5918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3124-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Outagamie CurrentSince Dec 15, 2025 Accepting new patients
Outagamie County Department of Health and Human Services Past Accepting new patients

Locations

320 S Walnut St
Appleton, WI 54911
Phone (920) 832-1624

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1124202650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNA",
        "first_name": "PENNIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3124-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43574800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.