Active NPI
Penny Darnell Burt
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1689320244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 99120795A
- Practice address
- 10531 E 10TH St
Indianapolis, IN 46229-2604 - Phone
- (317) 282-3088
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99120795A | IN | Primary |
Addresses
Primary practice location
10531 E 10TH St
Indianapolis, IN 46229-2604
Mailing address
10531 E 10TH St
Indianapolis, IN 46229-2604
Phone (317) 683-8114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99120795A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1689320244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10531 E 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292604",
"telephone_number": "317-683-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10531 E 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292604",
"telephone_number": "317-282-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "PENNY",
"middle_name": "DARNELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "99120795A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.