Organization Active NPI

Penelope Donovan, LLC

Doing business as Penelope Donovan, LPC, LLC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1417605072
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PENELOPE DONOVAN, LLC
Doing business as
Penelope Donovan, LPC, LLC
Practice address
4582 Southland Ave
Alexandria, VA 22312-1620
Phone
(157) 140-6707
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Penelope Donovan, LPCNPI 1780019315
Title
Practice Owner
Phone
(571) 406-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4582 Southland Ave
Alexandria, VA 22312-1620

Mailing address

4582 Southland Ave
Alexandria, VA 22312-1620
Phone (571) 406-7079

Other names 1

  • Penelope Donovan, LPC, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1417605072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 SOUTHLAND AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121620",
            "telephone_number": "571-406-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 SOUTHLAND AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121620",
            "telephone_number": "157-140-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE DONOVAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "571-406-7079",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penelope Donovan, LPC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.