DS PENROD & ASSOC (NPI# 1447440755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447440755 |
| Entity Type | Organization |
| Organization Name | DS PENROD & ASSOC |
| Other Organization Name | PENROD COUNSELING CENTER |
| Practice Address |
192 N State Road 267 300 Avon IN 46123-9513 |
| Mailing Address |
192 N State Road 267 Suite 300 Avon IN 46123 |
| Practice Telephone | 3172725247 |
| Practice Fax Number | 3172721340 |
| Mailing Telephone | 3172725247 |
| Mailing Fax Number | 3172721340 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MR. DEBRA SUSAN PENROD (OWNER DIRECTOR COUNSELOR) |
| Authorized Official Telephone | 3172725247 |
| Authorized Official Credential | PHD LMHC MAC CAD |
| Is Organization Subpart | Y |
| Parent Organization Name | DS PENROD AND ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39000853A | IN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Penrod Counseling Center | Doing Business As Name - Organization |
| Street Address |
192 N STATE ROAD 267 300 |
| City | AVON |
| State | IN |
| Zip Code | 46123-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897913 | Kathy Santon | Registered Nurse | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-16 |
| 1114296506 | Santon Mental Health Services | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-12-14 |
| 1568739910 | Jed Mental Health PC | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-11-29 |
| 1124250121 | Lelyne De Joyner | Marriage & Family Therapist | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2009-08-10 |
| 1154373256 | Jane Elizabeth Dinunzio | Social Worker | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1275156937 | Brianna Nicole Kilbane | Counselor | 37901 Quail Holw, Avon, OH 44011-4722 | 2020-05-28 |
| 1750947594 | Lashaun Nicole Montgomery | Counselor | 127 Orchard Dr Apt 303, Avon, IN 46123-6440 | 2019-05-17 |
| 1902304728 | Care To Change, LLC | Counselor | 10080 E Us Highway 36 Ste A, Avon, IN 46123-8174 | 2018-01-26 |
| 1942713995 | Katherine M Bement | Counselor | 37231 Colorado Ave Ste 111, Avon, OH 44011-1527 | 2017-11-13 |
| 1154847424 | Gateway Counseling Incorporated | Counselor | 7114 Galen Dr W Ste 103, Avon, IN 46123-8659 | 2017-08-18 |
| 1083095434 | Anna Poltorak | Counselor | 40 Avon Meadow Ln Bldg 40, Avon, CT 06001-3753 | 2015-06-11 |
| 1548667983 | Jennifer Anne Thor | Counselor | 41838 Nc 12, Ste 104, Avon, NC 27915 | 2014-12-01 |
| 1720428097 | Tulsi Sundare Bolwari-andrews | Counselor | 6655 Us Hwy 36, Avon, IN 46123 | 2013-07-01 |
| 1922245240 | Marcia A Hesselgrave | Counselor | 1426 Center Rd., Avon, OH 44011-1214 | 2009-01-08 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.