DS Penrod & Assoc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000853A Issued in IN

Legal business name

DS PENROD & ASSOC

Doing business as

Penrod Counseling Center

Practice address

192 N State Road 267
300
Avon, IN 46123-9513

Phone

(317) 272-5247

Fax

(317) 272-1340

NPI assigned

Aug 1, 2007

Organization subpart

Yes

Parent organization

DS PENROD AND ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Debra Susan Penrod, PHD LMHC MAC CADACI

Title

Owner Director Counselor

Phone

(317) 272-5247

Specialties & licenses 1

Addresses

Other names 1

• Penrod Counseling Center Doing business as

Part of

DS Penrod Assoc

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1447440755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-5247",
            "fax_number": "317-272-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-272-5247",
            "fax_number": "317-272-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS PENROD & ASSOC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DS PENROD AND ASSOCIATES",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER DIRECTOR COUNSELOR",
        "authorized_official_telephone_number": "317-272-5247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD LMHC MAC CADACI"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000853A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penrod Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Avon, IN
• Providers in Avon, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.