Shearon Larue Penn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89538 Issued in TX

Practice address

3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793

Phone

(469) 490-1442

NPI assigned

Feb 14, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shearon L Penn Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD
• Kenyatta Black Counseling LLC

  • Professional Counselor
  • Arlington, TX
  • NPI 1275010308
  NPD (past)
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1568227189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "469-490-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "469-490-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "SHEARON",
        "middle_name": "LARUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89538",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEARON",
            "last_name": "PENN",
            "middle_name": "L",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crystal Elizabeth Pendleton-Law, LPC
• Teresa Lee Penfield
• Rubie Yolanda Penigar-Taylor
• Vincent Reyes Penilla, FNP
• Jahnavi Penmetsa, M.B.B.S
• Sonja Su Pennington, LCSW
• Paisley W Penzes, LCSW
• People's Healthcare TX LLC
• Dawnette Peppler, M.D.
• Katherine Melanie Peralta Beteta

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.