Individual provider Active NPI

Jessica Penot, MS

  • Mental Health Counselor
  • Madison, AL
National Provider Identifier
1760615231
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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.

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

OrganizationSpecialtyStatusNew patients
Tree of Life Behavioral Health CurrentSince Aug 18, 2024 Accepting new patients
Marshall-Jackson Mental Health BD., Inc. PastSince Mar 26, 2019 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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.