Individual provider Active NPI

Penny Matthews

  • Mental Health Counselor
  • Allen, TX
National Provider Identifier
1841054988
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82469 Issued in TX
Practice address
550 S Watters Rd Ste 230
Allen, TX 75013-5229
Phone
(214) 415-0178
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82469 TX Primary

Addresses

Primary practice location

550 S Watters Rd Ste 230
Allen, TX 75013-5229

Mailing address

102 Camino Real West
Wylie, TX 75098
Phone (214) 415-0178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 27, 2024 through Feb 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82469TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penny 4 Your Thoughts Counseling, PLLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

550 S Watters Rd
Ste 230
Allen, TX 75013
Phone (214) 415-0178

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

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1841054988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CAMINO REAL WEST",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "214-415-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 230",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135229",
            "telephone_number": "214-415-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "PENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.