Penelope Cheryl Van Der Westhuizen, M.ED. L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9177 Issued in TX

Practice address

811 S Central Expy # 435
Richardson, TX 75080-7415

Phone

(972) 454-0016

NPI assigned

May 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Neighborhood Youth and Family Counseling of Richardson, Inc.

  • Community/Behavioral Health Agency
  • Richardson, TX
  • NPI 1164630562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821200288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S. CENTRAL EXPRESSWAY",
            "address_2": "SUITE 435",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806037",
            "telephone_number": "972-454-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY # 435",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807415",
            "telephone_number": "972-454-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Tyler St",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750816041",
            "country_code": "US",
            "telephone_number": "972-744-4858",
            "fax_number": "972-744-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER WESTHUIZEN",
        "first_name": "PENELOPE",
        "middle_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "M.ED. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkemdilim I Uzoka, DMD
• V Care Hospice Inc
• Douglas W Vail, D.D.S
• Kristen Dalseg Valentine, PT
• Edith Cortes Van Der Graaff, D.D.S.
• Katie A Vandenberge, M.S., CCC-SLP
• Abby Vanderhoof
• Vani Duvuuri MD PA
• Alexsha Diane Vann, BCBA, LBA
• Ryan Kyler Vanzandt

• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.