Alisha Leandra Penn, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05045 Issued in AL

Practice address

1900 14TH Ave S
Birmingham, AL 35205-4906

Phone

(205) 933-0338

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noahs Ark Child & Family Treatment Center Inc

  • Preferred Provider Organization
  • Birmingham, AL
  • NPI 1093122533
  NPD (past)
• Oasis Women's Counseling Center

  • Mental Health Counselor
  • Birmingham, AL
  • NPI 1154624609
  NPD (past)
• Oasis: a Women's Counseling Center

  • Community/Behavioral Health Agency
  • Birmingham, AL
  • NPI 1225299779
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1609461268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 3RD ST NW",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054906",
            "telephone_number": "205-933-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "ALISHA",
        "middle_name": "LEANDRA",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "C3646A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "LPC05045",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asullen@oasiscounseling.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 14th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352054906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anquenetta Michelle Pendleton Khan
• Tatiana Renee Pendleton, OTR
• Piotr Penherski
• John Penick
• Laura Kettle Penkava, CRNP
• Kiara Penn, MSOT, OTR/L
• Nakasha Penn
• Tammy Penn
• Brandon Pennington, DMD
• Gregory T Pennington, RN

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.