Active NPI
Elizabeth Wieland Pennington
- Professional Counselor
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11722
- Practice address
- 460 Langdon St
Spartanburg, SC 29302-1614 - Phone
- (864) 582-2411
- NPI assigned
- Jan 18, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11722 | SC | Primary |
Addresses
Primary practice location
460 Langdon St
Spartanburg, SC 29302-1614
Mailing address
PO Box 5158
Spartanburg, SC 29304-5158
Phone (864) 804-8763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Liberty Univ College of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Atrium Way
Suite 235
Columbia, SC 29223-6300
PO Box
Suite 5158
Spartanburg, SC 29304-5158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Mental Health | Current | Accepting new patients |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients |
Locations
1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300
750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829
460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
- Federally Qualified Health Center (FQHC)
- Gaffney, SC
- NPI 1245409846
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
Mental Health
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1316708225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5158",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293045158",
"telephone_number": "864-804-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 LANGDON ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021614",
"telephone_number": "864-582-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "ELIZABETH",
"middle_name": "WIELAND",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "11722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.