Active NPI
Jessica Penot, MS
- Mental Health Counselor
- Madison, AL
National Provider Identifier
1760615231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 190 Lime Quarry Rd Ste 111
Madison, AL 35758-8975 - Phone
- (256) 278-2802
- Fax
- (256) 375-0744
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Madison, AL
- NPI 1770961229
-
- Community/Behavioral Health Agency
- Guntersville, AL
- NPI 1568495588
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Behavioral Health | Current | Accepting new patients | |
| Marshall-Jackson Mental Health BD., Inc. | Past | Accepting new patients |
Locations
190 Lime Quarry Rd
Ste 111
Madison, AL 35758
Phone (256) 278-2802
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
190 Lime Quarry Rd Ste 111
Madison, AL 35758-8975
Mailing address
190 Lime Quarry Rd Ste 111
Madison, AL 35758-8975
Phone (256) 278-2802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2024.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1760615231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 LIME QUARRY RD STE 111",
"city": "MADISON",
"state": "AL",
"postal_code": "357588975",
"telephone_number": "256-278-2802",
"fax_number": "256-375-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 LIME QUARRY RD STE 111",
"city": "MADISON",
"state": "AL",
"postal_code": "357588975",
"telephone_number": "256-278-2802",
"fax_number": "256-375-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENOT",
"first_name": "JESSICA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.