Individual provider Active NPI

Erica Driscoll Penny, NCLCMHCA

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1710769047
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19271 Issued in NC
Practice address
1011 Pemberton Hill Rd Ste 202
Apex, NC 27502-4266
Phone
(984) 256-8754
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 704161 NC
Mental Health Counselor 101YM0800X A19271 NC Primary

Addresses

Primary practice location

1011 Pemberton Hill Rd Ste 202
Apex, NC 27502-4266

Mailing address

1011 Pemberton Hill Rd Ste 202
Apex, NC 27502-4266
Phone (984) 256-8754

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

LicenseStateTypeSpecialty
A19271NCMDMental Health Counselor
704161NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Becoming You Mental Health Counseling PLLC Mental Health Current Accepting new patients
Carolina Counseling Wellness Associates Past 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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1710769047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD STE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "984-256-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD STE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "984-256-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "ERICA",
        "middle_name": "DRISCOLL",
        "name_prefix": "Mrs.",
        "credential": "NCLCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "704161",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.