Courtney Pennington

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5100 Eastman Ave Ste 2
Midland, MI 48640-6793

Phone

(989) 832-0191

Fax

(989) 486-9413

NPI assigned

Jun 18, 2024

Sex

Female

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

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.

• Still Water Professional Counseling, LLC

  • Professional Counselor
  • Midland, MI
  • NPI 1609381631
  NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1871336693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 EASTMAN AVE STE 2",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406793",
            "telephone_number": "989-832-0191",
            "fax_number": "989-486-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 EASTMAN AVE STE 2",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406793",
            "telephone_number": "989-832-0191",
            "fax_number": "989-486-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Odell Peeler, LBSW
• Kathryn Joan Pelliccia
• Kelly Pelong
• Kristin R. Penberthy, LMSW, QMHP, QIDP
• Samuel John Penkala, OTRL
• Danita Lucette Peoples-Peterson, MD
• Kendall Rose Perdue
• Ladd Herbert Perreault
• Perry Drug Stores Inc and Subsidiaries
• Shontelle Perry

• Professional Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.