Kenneth Pankey, B.A QMHP-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3485 Issued in VA

Practice address

2819 N Parham Rd Ste 260
Henrico, VA 23294-4425

Phone

(804) 219-9554

NPI assigned

Jun 13, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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.

• Advocating for Peace, LLC

  • Community/Behavioral Health Agency
  • Henrico, VA
  • NPI 1962084954
  NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1861985806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 MANASSAS DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327884",
            "telephone_number": "804-219-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 260",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-219-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKEY",
        "first_name": "KENNETH",
        "credential": "B.A QMHP-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Page Improvements LLC
• Edin Pajalic, LCSW
• Kelly Ann Palmer, PHARMD
• Nicole Marie Pandak, DPT
• Serina Marie Pangelinan, LPC, MS IN CMHC
• Parastu Mirmonsef, DDS, PLLC
• Lisa Parise
• Grace Park
• Amy Louise Parker, MD
• Andrew Charles Parker, M.D.

• Mental Health Counselor in Henrico, VA
• Providers in Henrico, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.