Active NPI
Latricia H Penny, MA, LPC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1487967030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8042
- Practice address
- 1515 Mockingbird LN
Suite 709
Charlotte, NC 28209-3236 - Phone
- (704) 303-9712
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8042 | NC | Primary |
Addresses
Primary practice location
1515 Mockingbird LN
Suite 709
Charlotte, NC 28209-3236
Mailing address
PO Box 44007
Charlotte, NC 28215-0034
Phone (704) 493-5256
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8042 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1487967030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44007",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282150034",
"telephone_number": "704-493-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN",
"address_2": "SUITE 709",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093236",
"telephone_number": "704-303-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "LATRICIA",
"middle_name": "H",
"name_prefix": "Miss",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.