Active NPI
Hannah Christine Penalva, MFTA
- Marriage & Family Therapist
- Lexington, KY
National Provider Identifier
1215501879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 267771
- Practice address
- 3493 Lansdowne Dr Ste 2
Lexington, KY 40517-1147 - Phone
- (859) 619-3141
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 267771 | KY | Primary |
Addresses
Primary practice location
3493 Lansdowne Dr Ste 2
Lexington, KY 40517-1147
Mailing address
PO Box 154
Lexington, KY 40588-0154
Phone (859) 619-3141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Lexington | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267771 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1215501879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405880154",
"telephone_number": "859-619-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3493 LANSDOWNE DR STE 2",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171147",
"telephone_number": "859-619-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENALVA",
"first_name": "HANNAH",
"middle_name": "CHRISTINE",
"credential": "MFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "267771",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Lexington",
"affiliation": "N",
"endpointDescription": "Lane of Roses Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "TherapyNotes",
"address_1": "3493 Lansdowne Dr Ste 2",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405171147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.