Angela Penney, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

11213-125 Issued in WI

Practice address

2112 Ohio Ave
Superior, WI 54880-4436

Phone

(715) 468-2841

NPI assigned

Jan 25, 2023

Last updated

Jul 29, 2024By the provider in NPPES

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 WI

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soar Services IncGroup PAC ID 6406398163, 10 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soar Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shell Lake, WI
  • NPI 1437571569
  Medicare reassignment Care Compare group NPD
• Turgeon Consulting

  dba Superior Counseling Services

  • Mental Health Counselor
  • Ashland, WI
  • NPI 1861675837
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1326754193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 OHIO AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804436",
            "telephone_number": "715-468-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "11213-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Panula, LPC
• Timothy Lloyd Panula, LPC
• Kelly Kristine Parish-Larson, RN, CNP
• Paul Industries LLC
• John Paul, PH.D., L.P.C.
• Celeste Pennington, LCSW
• Michele Denise Perron, PHD
• Chad M Peterson, PT
• Christine Jo Peterson, MPT
• Sean Wiberg Peterson, MS LAT, ATC

• Counselor in Superior, WI
• Providers in Superior, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.