Active NPI
Anthony George Pennant Jr., LMFT
- Marriage & Family Therapist
- Brooklawn, NJ
National Provider Identifier
1811380884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000829
- Practice address
- 211 Paris Ave Ste 1
Brooklawn, NJ 08030-2526 - Phone
- (267) 997-8744
- NPI assigned
- Mar 13, 2015
- Last updated
- Mar 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000829 | PA | Primary |
Addresses
Primary practice location
211 Paris Ave Ste 1
Brooklawn, NJ 08030-2526
Mailing address
211 Paris Ave Ste 1
Brooklawn, NJ 08030-2526
Phone (267) 997-8744
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 |
|---|---|---|---|
| MF000829 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Family Therapy, Inc | Current | Accepting new patients | |
| Sea Institute for Family Therapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 4
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.
-
- Marriage & Family Therapist
- Seattle, WA
- NPI 1801776067
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1427879568
-
- Marriage & Family Therapist
- Philadelphia, PA
- NPI 1831561570
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1750863668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1811380884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 PARIS AVE STE 1",
"city": "BROOKLAWN",
"state": "NJ",
"postal_code": "080302526",
"telephone_number": "267-997-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 PARIS AVE STE 1",
"city": "BROOKLAWN",
"state": "NJ",
"postal_code": "080302526",
"telephone_number": "267-997-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNANT",
"first_name": "ANTHONY",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-13",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.