Active NPI
Penny Lynne Dollens-Smith, MA, LMFT, LMHC, LSW
- Mental Health Counselor
- Carmel, IN
National Provider Identifier
1851315477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001121A
- Practice address
- 13295 Illinois St
Suite 324
Carmel, IN 46032-3019 - Phone
- (317) 663-0654
- Fax
- (866) 481-0076
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001121A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35000789A | IN | |
| Social Worker | 104100000X | 33001683A | IN |
Addresses
Primary practice location
13295 Illinois St
Suite 324
Carmel, IN 46032-3019
Mailing address
13295 Illinois St
Suite 324
Carmel, IN 46032-3019
Phone (317) 663-0654
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001121A | IN | MD | Mental Health Counselor |
| 33001683A | IN | MD | Social Worker |
| 35000789A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1851315477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST",
"address_2": "SUITE 324",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323019",
"telephone_number": "317-663-0654",
"fax_number": "866-481-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST",
"address_2": "SUITE 324",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323019",
"telephone_number": "317-663-0654",
"fax_number": "866-481-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLENS-SMITH",
"first_name": "PENNY",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "MA, LMFT, LMHC, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001121A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000789A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33001683A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.