Active NPI
Elaine Jae Penny, MSW, LSCSW
- Mental Health Counselor
- Lawrence, KS
National Provider Identifier
1730690611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2536
- Practice address
- 2320 Brett Dr
Lawrence, KS 66049-1675 - Phone
- (785) 813-2760
- NPI assigned
- Oct 18, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2536 | KS | Primary |
Addresses
Primary practice location
2320 Brett Dr
Lawrence, KS 66049-1675
Mailing address
2320 Brett Dr
Lawrence, KS 66049-1675
Phone (785) 813-2760
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2536 | KS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1730690611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 BRETT DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660491675",
"telephone_number": "785-813-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 BRETT DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660491675",
"telephone_number": "785-813-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "ELAINE",
"middle_name": "JAE",
"credential": "MSW, LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.