Active NPI
Jeremiah Penny
- Counselor
- Camarillo, CA
National Provider Identifier
1205005394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1750 S Lewis Rd
Camarillo, CA 93012-8520 - Phone
- (805) 383-3669
- NPI assigned
- Feb 22, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1750 S Lewis Rd
Camarillo, CA 93012-8520
Mailing address
1750A S Lewis Rd
Camarillo, CA 93012
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": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1205005394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750A S LEWIS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 S LEWIS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128520",
"telephone_number": "805-383-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "JEREMIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.