Gina Fon Pennington, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4474 Issued in MD

Practice address

12331 Quiet Owl LN
Bowie, MD 20720-4308

Phone

(301) 919-1158

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Gina Pennington

  • Mental Health Counselor
  • Hagerstown, MD
  • NPI 1245170307
  NPD Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1295089142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BESTGATE RD",
            "address_2": "SUITE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013472",
            "telephone_number": "301-919-1158",
            "fax_number": "410-224-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 QUIET OWL LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204308",
            "telephone_number": "301-919-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "GINA",
        "middle_name": "FON",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Pearson
• Tatianna Tricia Pecoo
• Zhengtong Pei, M.D.
• Yembe Pemwoya Lesly
• Shenita Annette Penn, RN, IBCLC
• Dana Laura M Peral
• Perfect Wellness, LLC
• Merlina Alyce Perkowski, LCMFT
• Eunice Perry
• Evelin A Perry, MSW, LCSW-C

• Mental Health Counselor in Bowie, MD
• Providers in Bowie, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.