Andrew Michael Penner, PLPC

Individual provider Active NPI Mental Health Counselor · Higginsville, MO

NPI 1831402304 · NPPES record last updated Jul 26, 2010

Key facts

NPI: 1831402304
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 2010023789 (MO)
Practice address: 14 E 18TH St
Ste. 104
Higginsville, MO 64037-1358
Phone: (660) 584-5560
Fax: (660) 584-5562
NPI assigned: Jul 26, 2010
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Healthy Living Institute Psychologist · Higginsville, MO · NPI 1295775658

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2010023789	MO	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Healthy Living Institute		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	2010023789	MO	Yes

Addresses

Primary practice location

14 E 18TH St
Ste. 104
Higginsville, MO 64037-1358

Mailing address

14 E 18TH St
Ste. 104
Higginsville, MO 64037-1358
Phone (660) 584-5560

Other providers in Higginsville, MO

All providers in Higginsville, MO · Mental Health Counselor in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.