Penwell Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8358 Issued in NC

Legal business name

PENWELL COUNSELING SERVICES, PLLC

Practice address

1903 N. Harrison Ave
Suite 200 #1040
Cary, NC 27513

Phone

(919) 319-1163

NPI assigned

Feb 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Marie Penwell, LCMHCNPI 1336442995

Title

Owner

Phone

(919) 319-1163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Marie Penwell, MA, LCMHC, NCC

  • Professional Counselor
  • Cary, NC
  • NPI 1336442995
  NPD (past) Authorized official

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1669711701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD",
            "address_2": "STE 200, RM 4",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114597",
            "telephone_number": "919-319-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 N. HARRISON AVE",
            "address_2": "SUITE 200 #1040",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-319-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENWELL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "PENWELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-319-1163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Jane Pendergrass
• Naga Sri Anila Devi Penegalapati, BPT, MBA
• Jennifer Kern Pennell, M.D.
• Elizabeth Ferguson Pennington, D.D.S.
• Antionque Colette Penny
• Melissa Marie Penwell, MA, LCMHC, NCC
• Sara Pepka
• Elena Perea, MD
• Katherine Peregrin
• Allison Gilboy Pereklita, PA

• Community/Behavioral Health Agency in Cary, NC
• Providers in Cary, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.