Individual provider Active NPI

Michelle Suzanne Pennella, LMHC

  • Mental Health Counselor
  • Harrison, NY
National Provider Identifier
1306561014
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015637 Issued in NY
Practice address
275 North St
Harrison, NY 10528-1140
Phone
(914) 621-6496
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 015637 NY Primary

Addresses

Primary practice location

275 North St
Harrison, NY 10528-1140

Mailing address

41B Furnace Dock Rd
Croton on Hudson, NY 10520-1406
Phone (914) 621-6496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20251112000066 NY Practitioner - Mental Health Counselor 0648761254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Medical PCGroup PAC ID 2567882731, 22 clinicians

Practice addresses (Care Compare)

250 Ashland PL
Apt 30K
Brooklyn, NY 11217-4327
Phone (646) 766-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Medical P.C. CurrentSince Jan 19, 2026 Accepting new patients
VCS Inc. CurrentSince Aug 3, 2025 Accepting new patients

Locations

77 S Main St
New City, NY 10956
Phone (845) 634-5729

Organizations & group practices 2

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1306561014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41B FURNACE DOCK RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201406",
            "telephone_number": "914-621-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281140",
            "telephone_number": "914-621-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELLA",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.