Individual provider Active NPI

Antoinlete Cheref Pennycooke, MA, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1174690663
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9440 Issued in FL
Practice address
8865 Commodity Cir
Unit 14, Suite 106
Orlando, FL 32819-9077
Phone
(407) 403-1221
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 9440 FL Primary

Addresses

Primary practice location

8865 Commodity Cir
Unit 14, Suite 106
Orlando, FL 32819-9077

Mailing address

PO Box 536064
Orlando, FL 32853-6064
Phone (407) 403-1221

Other names 1

  • Miss Antoinlete Cheref Martin Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH 9440FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Mental Health & Eap Services, LLC Mental Health Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1174690663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536064",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328536064",
            "telephone_number": "407-403-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 COMMODITY CIR",
            "address_2": "UNIT 14, SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199077",
            "telephone_number": "407-403-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYCOOKE",
        "first_name": "ANTOINLETE",
        "middle_name": "CHEREF",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINLETE",
            "last_name": "MARTIN",
            "middle_name": "CHEREF",
            "prefix": "MISS",
            "credential": "MA, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.