Pennie L. Colleton, NCC, LPC, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00610100 Issued in NJ

Practice address

6 Second Street
Aberdeen, NJ 07747-0774

Phone

(732) 744-4406

NPI assigned

Nov 14, 2017

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Embracing Life Changes Thru Counseling, LLC

  • Professional Counselor
  • Aberdeen, NJ
  • NPI 1093549099

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1164935912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SECOND STREET",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-829-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SECOND STREET",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077470774",
            "telephone_number": "732-744-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4326 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088521906",
            "country_code": "US",
            "telephone_number": "732-235-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETON",
        "first_name": "PENNIE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00326100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00610100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054163",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Citro, PT, DPT
• Olivia Emily Cleaves
• Sarah Clemente, LSW
• Clinical Care LLC
• Clinical Care, LLC
• Lisa Corrado, RN
• Donna Coyle, LSW
• CPC Behavioral Healthcare
• CPC Behavioral Healthcare
• CPC Behavioral Healthcare

• Mental Health Counselor in Aberdeen, NJ
• Providers in Aberdeen, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.