Active NPI
Jameka J Penn
- Behavior Technician
- Indianapolis, IN
National Provider Identifier
1124964192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 609 E 29TH St
Indianapolis, IN 46205-4160 - Phone
- (317) 292-5123
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
609 E 29TH St
Indianapolis, IN 46205-4160
Mailing address
2434 W 67TH St
Indianapolis, IN 46268-2722
Phone (317) 496-5094
Other practice location 1
8915 Westminster Ct
Indianapolis, IN 46256-2268
Phone (317) 292-5123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1124964192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 W 67TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462682722",
"telephone_number": "317-496-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E 29TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462054160",
"telephone_number": "317-292-5123"
}
],
"practiceLocations": [
{
"address_1": "8915 Westminster Ct",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462562268",
"country_code": "US",
"telephone_number": "317-292-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENN",
"first_name": "JAMEKA",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.