Active NPI
Teresa Lynn Pfenninger, LLPC
- Counselor
- Flint, MI
National Provider Identifier
1730515685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013886
- Practice address
- 2702 Flushing Rd
Flint, MI 48504-4534 - Phone
- (810) 424-5998
- Fax
- (810) 424-6347
- NPI assigned
- Sep 24, 2013
- Last updated
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013886 | MI | Primary |
Addresses
Primary practice location
2702 Flushing Rd
Flint, MI 48504-4534
Mailing address
585 Jewett Rd
Mason, MI 48854-8729
Phone (517) 676-5405
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 |
|---|---|---|---|
| 6401013886 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1730515685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 JEWETT RD",
"city": "MASON",
"state": "MI",
"postal_code": "488548729",
"telephone_number": "517-676-5405",
"fax_number": "517-676-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 FLUSHING RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485044534",
"telephone_number": "810-424-5998",
"fax_number": "810-424-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFENNINGER",
"first_name": "TERESA",
"middle_name": "LYNN",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.