Individual provider Active NPI

Nedra Penland, LPC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1437489788
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005762 Issued in GA
Practice address
35 Patterson Rd
Lawrenceville, GA 30042-3747
Phone
(678) 835-8144
NPI assigned
Jan 9, 2010
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 005762 GA Primary

Addresses

Primary practice location

35 Patterson Rd
Lawrenceville, GA 30042-3747

Mailing address

35 Patterson Road PO Box 465873
Lawrenceville, GA 30042-5873
Phone (678) 835-8144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3446 Winder Hwy
Suite M329
Flowery Branch, GA 30542-3007

4875 Hog Mountain Rd
Flowery Branch, GA 30542-3476
Phone (470) 577-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebuilding Lives Counseling Professional Current Accepting new patients

Locations

35 Patterson Rd
Unit 465873
Lawrenceville, GA 30042

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": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1437489788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PATTERSON ROAD PO BOX 465873",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300425873",
            "telephone_number": "678-835-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PATTERSON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300423747",
            "telephone_number": "678-835-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "NEDRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-09",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.