Individual provider Active NPI

Clara R Penney, MS, LPEI

  • Mental Health Counselor
  • Sheridan, AR
National Provider Identifier
1316141245
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90-32EI Issued in AR
Practice address
202 N Oak St
Sheridan, AR 72150-2132
Phone
(870) 917-9957
Fax
(501) 781-7040
NPI assigned
Jun 13, 2007
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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 90-32EI AR Primary

Addresses

Primary practice location

202 N Oak St
Sheridan, AR 72150-2132

Mailing address

202 N Oak St
Sheridan, AR 72150-2132
Phone (870) 917-9957

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 Science

State licenses

LicenseStateTypeSpecialty
90-32EIARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1316141245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N OAK ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502132",
            "telephone_number": "870-917-9957",
            "fax_number": "501-781-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N OAK ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502132",
            "telephone_number": "870-917-9957",
            "fax_number": "501-781-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "CLARA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS, LPEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "90-32EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.