Rebecca Pennington, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00433300 Issued in NJ

Practice address

45 River Rd Ste 4
Summit, NJ 07901-1452

Phone

(862) 260-4576

NPI assigned

Dec 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1346889391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHADYLAWN DR",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401011",
            "telephone_number": "973-632-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RIVER RD STE 4",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011452",
            "telephone_number": "862-260-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "REBECCA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00433300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Pedetti, DO
• Pediatric Pulmonary Associates of Central New Jersey
• Pediatric Urgicare LLC
• Tasneem Peeraully, MD
• Caroline Pence, LCSW
• Adryan Alexander Perez, MD
• Olivia Jane Perlmutter, M.S
• Kristen G. Perman, L.AC, C.A.
• Brian A Peterkin, PA-C
• Melanie Ann Peters, LPC, ATR-BC

• Mental Health Counselor in Summit, NJ
• Providers in Summit, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.