Melissa Marie Penwell, MA, LCMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8358 Issued in NC

Practice address

2500 Regency Pkwy
Cary, NC 27518-8549

Phone

(919) 319-1163

NPI assigned

Dec 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 7, 2024 through Jan 7, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Penwell Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1669711701
  NPD (past) Authorized official

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1336442995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 REGENCY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188549",
            "telephone_number": "919-319-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 REGENCY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188549",
            "telephone_number": "919-319-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWELL",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naga Sri Anila Devi Penegalapati, BPT, MBA
• Jennifer Kern Pennell, M.D.
• Elizabeth Ferguson Pennington, D.D.S.
• Antionque Colette Penny
• Penwell Counseling Services, PLLC
• Sara Pepka
• Elena Perea, MD
• Katherine Peregrin
• Allison Gilboy Pereklita, PA
• Chethana Amali Perera

• Professional Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.