Individual provider Active NPI

Jamen Penney

  • Mental Health Counselor
  • New Bedford, MA
National Provider Identifier
1689040321
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12514 Issued in MA
Practice address
833 Shawmut Ave
New Bedford, MA 02746-1315
Phone
(401) 935-2747
NPI assigned
Aug 17, 2015
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12514 MA Primary

Addresses

Primary practice location

833 Shawmut Ave
New Bedford, MA 02746-1315

Mailing address

833 Shawmut Ave
New Bedford, MA 02746-1315
Phone (508) 817-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240404002918 MA Practitioner - Mental Health Counselor 8729436829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Massachusetts Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calm Centers Counseling LLCGroup PAC ID 3375991474, 7 clinicians

Practice addresses (Care Compare)

New Bedford, MA 02746
Phone (508) 500-6995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12514MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Centers Counseling LLC Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Online Therapy Association. Inc PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1689040321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SHAWMUT AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461315",
            "telephone_number": "508-817-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SHAWMUT AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461315",
            "telephone_number": "401-935-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "JAMEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.