Individual provider Active NPI

Karen A NN Penta, LMHC

  • Mental Health Counselor
  • Yarmouth Port, MA
National Provider Identifier
1760524151
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MALMHC1420 Issued in MA
Practice address
947 Route 6a Ste 11
Yarmouth Port, MA 02675-2171
Phone
(617) 803-1228
NPI assigned
Feb 13, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 MALMHC1420 MA Primary

Addresses

Primary practice location

947 Route 6a Ste 11
Yarmouth Port, MA 02675-2171

Mailing address

319 Mayfair Rd
Yarmouth Port, MA 02675-2229
Phone (774) 289-4203

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
I20240102000699 MA Practitioner - Mental Health Counselor 2365892486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

259 A N St
Suite 1 and 2ND Floor
Hyannis, MA 02601-3823
Phone (508) 862-0514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MALMHC1420MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Meeting House Family Counseling Mental Health Past Accepting new patients
Northeast Health Services PastSince Jan 1, 2024 Accepting new patients

Locations

259 North St
Ste 1
Hyannis, MA 02601
Phone (508) 862-0514

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1760524151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAYFAIR RD",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752229",
            "telephone_number": "774-289-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 ROUTE 6A STE 11",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752171",
            "telephone_number": "617-803-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTA",
        "first_name": "KAREN",
        "middle_name": "A NN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "MALMHC1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.