Active NPI
Rita Charlene Penley, M.ED., LPCC
- Professional Counselor
- Centerville, OH
National Provider Identifier
1255774337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0800376
- Practice address
- 99 South Main St
Centerville, OH 45458 - Phone
- (937) 431-1042
- NPI assigned
- Apr 9, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0800376 | OH | Primary |
Addresses
Primary practice location
99 South Main St
Centerville, OH 45458
Mailing address
2501 Bending Willow Dr
Kettering, OH 45440-1144
Phone (937) 431-1042
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0800376 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1255774337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 BENDING WILLOW DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454401144",
"telephone_number": "937-431-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 SOUTH MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-431-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENLEY",
"first_name": "RITA",
"middle_name": "CHARLENE",
"credential": "M.ED., LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0800376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.