Maryn Penning, LPC, NCC, M.ED

Individual provider Active NPI Mental Health Counselor · Thornton, PA

NPI 1992869473 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1992869473
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PC006822 (PA)
Practice address
378 Glen Mills Rd
Thornton, PA 19373-1080
Phone
(484) 401-9932
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PA006822PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PA006822 PA
Professional Counselor 101YP2500X PA006822 PA
Mental Health Counselor 101YM0800X PC006822 PA Yes

Addresses

Primary practice location

378 Glen Mills Rd
Thornton, PA 19373-1080

Mailing address

378 Glen Mills Rd
Thornton, PA 19373-1080
Phone (484) 401-9932

Other providers in Thornton, PA

All providers in Thornton, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.