Andrew Michael Penner, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2010023789 Issued in 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

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Living Institute

  • Psychologist
  • Higginsville, MO
  • NPI 1295775658
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1831402304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 18TH ST",
            "address_2": "STE. 104",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371358",
            "telephone_number": "660-584-5560",
            "fax_number": "660-584-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 18TH ST",
            "address_2": "STE. 104",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371358",
            "telephone_number": "660-584-5560",
            "fax_number": "660-584-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2010023789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Elizabeth Maxon, FNP
• Rodney Lance McCaslin, PT
• Midwest Division - LRHC LLC (Higginsville Medical Clinic)
• Sara E. Nicolaus, PHARM.D.
• Nadia Parsan, MD
• Roger Leslie Petersen, OD
• Physical Therapy of Higginsville
• Plattner Dental Associates, LLC (Plattner Dentistry Family & Cosmetic)
• Progressive Alternative Living, Inc
• Progressive Alternative Living, Inc.

• Mental Health Counselor in Higginsville, MO
• Providers in Higginsville, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.