Active NPI
Phunda Ladell Pennington
- Rehabilitation Counselor
- Keithville, LA
National Provider Identifier
1861334161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 646
- Practice address
- 9859 Freedoms Way
Keithville, LA 71047-9229 - Phone
- (318) 230-3285
- NPI assigned
- Apr 7, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 646 | LA | |
| Rehabilitation Counselor | 225C00000X | 646 | LA | Primary |
Addresses
Primary practice location
9859 Freedoms Way
Keithville, LA 71047-9229
Mailing address
9859 Freedoms Way
Keithville, LA 71047-9229
Phone (318) 230-3285
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646 | LA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1861334161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9859 FREEDOMS WAY",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710479229",
"telephone_number": "318-230-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9859 FREEDOMS WAY",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710479229",
"telephone_number": "318-230-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "PHUNDA",
"middle_name": "LADELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-07",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "646",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "LA",
"license": "646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keithville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.