PENWELL COUNSELING SERVICES, PLLC (NPI# 1669711701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669711701 |
Entity Type | Organization |
Organization Name | PENWELL COUNSELING SERVICES, PLLC |
Practice Address |
1140 Kildaire Farm Rd Ste. 200, Rm 4 Cary NC 27511-4597 |
Mailing Address |
1140 Kildaire Farm Rd Ste 200, Rm 4 Cary NC 27511-4597 |
Practice Telephone | 9193191163 |
Mailing Telephone | 9193191163 |
Enumeration Date | 2013-02-09 |
Last Update Date | 2016-03-04 |
Authorized Official Name | MRS. MELISSA MARIE PENWELL (OWNER/PROVIDER) |
Authorized Official Telephone | 9193191163 |
Authorized Official Credential | MA, NCC, LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 8358 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6104653 | 05 |
Street Address |
1140 KILDAIRE FARM RD STE. 200, RM 4 |
City | CARY |
State | NC |
Zip Code | 27511-4597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699840793 | Mary Rudisill Key | Counselor | 1140 Kildaire Farm Rd, Suite 200 Room 9, Cary, NC 27511-4562 | 2006-11-22 |
1477151504 | Kathryn Marie Bowden | Counselor | 1140 Kildaire Farm Rd, Cary, NC 27511-4562 | 2020-10-12 |
1689134488 | Hall Family Therapy | Counselor | 1140 Kildaire Farm Rd, Suite 206, Rm 5, Cary, NC 27511 | 2019-03-20 |
1104391192 | Michael Gisser | Counselor | 1140 Kildaire Farm Rd, Ste 206, Cary, NC 27511-4597 | 2018-10-05 |
1316315443 | John Taylor Houchens | Counselor | 1140 Kildaire Farm Rd, Suite 207, Cary, NC 27511-4562 | 2015-09-06 |
1790152254 | Creasman Counseling, Pllc | Counselor | 1140 Kildaire Farm Rd, Suite 207, Cary, NC 27511-4562 | 2015-08-31 |
1023391828 | Franvimag Home Care L.l.c | Home Infusion | 1140 Kildaire Farm Rd, Suite 208, Cary, NC 27511-4562 | 2011-09-28 |
1700169596 | Vivian Nwachukwu | Technician | 1140 Kildaire Farm Rd, Suite 108, Room 13, Cary, NC 27511-4562 | 2011-09-28 |
1336442995 | Melissa Marie Penwell | Counselor | 1140 Kildaire Farm Rd, Ste. 200, Rm 4, Cary, NC 27511-4597 | 2010-12-20 |
1326348418 | Continued Care, Inc. | In Home Supportive Care | 1140 Kildaire Farm Rd, Suite 305, Cary, NC 27511-4562 | 2010-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
Find all providers in zip 27511 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1376189373 | Monarch | Community/Behavioral Health | 408 Rutherglen Dr, Cary, NC 27511-6437 | 2019-11-25 |
1366084188 | Monarch | Community/Behavioral Health | 740 Magalloway Drive, Cary, NC 27519 | 2019-10-14 |
1063932689 | T Jackson Home | Community/Behavioral Health | 303 Canon Gate Dr, Cary, NC 27518-2494 | 2017-06-24 |
1720449663 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 110 Rainbow Ct, Cary, NC 27511-3586 | 2016-03-18 |
1013377563 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 2216 Grande Valley Cir, Cary, NC 27513-3143 | 2016-02-26 |
1578921078 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 549 Matheson Pl, Cary, NC 27511-6746 | 2016-01-29 |
1386013563 | Global Mental Health and Substance Abuse Agency | Community/Behavioral Health | 9216 Citadel Creek Ln, Cary, NC 27519-7053 | 2015-09-17 |
1780066134 | Cornerstone Ministries Group Inc. | Community/Behavioral Health | 303 E Durham Rd, Cary, NC 27513-4047 | 2015-06-22 |
1588073704 | Katesha S. Cromwell | Community/Behavioral Health | 1201 Parable Way, Cary, NC 27519-0897 | 2014-08-13 |
Find all providers in CARY |
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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.