Individual provider Active NPI

Penny S Bell, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Kennewick, WA
National Provider Identifier
1417179243
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00006097 Issued in WA
Practice address
8514 W Gage Blvd Ste G
Kennewick, WA 99336
Phone
(509) 440-3387
Fax
(888) 745-2096
NPI assigned
May 2, 2007
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006097 WA Primary

Addresses

Primary practice location

8514 W Gage Blvd Ste G
Kennewick, WA 99336

Mailing address

5811 Middle Fork St
Pasco, WA 99301-5560
Phone (509) 554-9739

Other practice location 1

1725 Continental Pl Ste C
Mount Vernon, WA 98273-5693
Phone (509) 440-3387

Other practice location 2

3624 Colby Ave Ste B
Everett, WA 98201-4789
Phone (425) 366-8517

Other practice location 3

328 S Stillaguamish Ave
Arlington, WA 98223-1660
Phone (509) 440-3387

Other practice location 4

2609 River Rd
Yakima, WA 98902-1133
Phone (509) 494-8815

Other practice location 5

1500 W Court St
Pasco, WA 99301-4057
Phone (509) 440-3387

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

State licenses

LicenseStateTypeSpecialty
CP00006097WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Balance PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1417179243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 MIDDLE FORK ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015560",
            "telephone_number": "509-554-9739",
            "fax_number": "888-745-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-440-3387",
            "fax_number": "888-745-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Continental Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735693",
            "country_code": "US",
            "telephone_number": "509-440-3387",
            "fax_number": "888-745-2096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3624 Colby Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014789",
            "country_code": "US",
            "telephone_number": "425-366-8517",
            "fax_number": "844-247-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 S Stillaguamish Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982231660",
            "country_code": "US",
            "telephone_number": "509-440-3387",
            "fax_number": "844-247-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 River Rd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989021133",
            "country_code": "US",
            "telephone_number": "509-494-8815",
            "fax_number": "844-215-7281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Court St",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993014057",
            "country_code": "US",
            "telephone_number": "509-440-3387",
            "fax_number": "888-745-2096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "PENNY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.