Penner Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4227 Issued in KS

Legal business name

PENNER COUNSELING SERVICES, LLC

Practice address

101 E 1St Ave
Hutchinson, KS 67501-7147

Phone

(620) 200-4800

Fax

(620) 662-5621

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Matthew L. Penner, MSW, LSCSW, LCACNPI 1740413962

Title

Therapist/Owner

Phone

(620) 200-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Penner, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1740413962
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1922403476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675040772",
            "telephone_number": "620-200-4800",
            "fax_number": "620-662-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017147",
            "telephone_number": "620-200-4800",
            "fax_number": "620-662-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "620-200-4800",
        "authorized_official_credential": "MSW, LSCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Louis Peak, M.D.
• Pease & Smith, MD PA
• Pease & Smith, MD,PA
• Gary Lee Pease, MD
• Pediatric Dentistry, LLC
• Corey Penner, R.PH
• Lyndal Penner, LCP, LCMFT
• Matthew Penner, LSCSW
• Morgan J Penner, MSW
• Raymond Penner, LSCSW

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.