Individual provider Active NPI

Lesley Pena, LPC

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1659008746
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9333 Issued in SC
Practice address
750 S Church St
Spartanburg, SC 29306-5348
Phone
(864) 582-2411
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 9333 SC Primary

Addresses

Primary practice location

750 S Church St
Spartanburg, SC 29306-5348

Mailing address

5105 Thompson St
Chesnee, SC 29323-8219
Phone (843) 729-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20250129002948 SC Practitioner - Mental Health Counselor 1052840493 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center Mental Health CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Responder Support Services Mental Health PastSince Aug 1, 2022 Accepting new patients

Locations

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1659008746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 THOMPSON ST",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293238219",
            "telephone_number": "843-729-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065348",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LESLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.