KIMBERLY TEALA PAULINE PENNELL (NPI# 1952838831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952838831 |
| Entity Type | Individual |
| Full Name | KIMBERLY TEALA PAULINE PENNELL |
| Credential | LPCA |
| Practice Address |
393 3rd Ave Sw Taylorsville NC 28681-4180 |
| Practice Telephone | 8288482515 |
| Mailing Telephone | 8288482515 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A12979 | NC | Behavioral Health & Social Service Providers |
| Street Address |
393 3RD AVE SW |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578582342 | Steven Merrill | Family Medicine | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2006-07-19 |
| 1841769601 | Piedmont Healthcare, Pa | Family Medicine | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2018-11-21 |
| 1750898326 | Michael Stewart Jordan | Counselor | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2018-01-04 |
| 1235650722 | Crystal Dawn Watson | Social Worker | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2017-07-05 |
| 1881083756 | Bradford Little | Counselor | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2015-01-15 |
| 1609157676 | Rha Health Services Inc | Community/Behavioral Health | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-09-06 |
| 1346521317 | Rha Health Services Inc | Community/Behavioral Health | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-09-06 |
| 1427339498 | Rha Health Services Inc | Community/Behavioral Health | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-09-06 |
| 1992093959 | Rha Health Services Inc | Community/Behavioral Health | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-07-12 |
| 1508191834 | Ashley Marie Houck | Counselor | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2009-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666110 | Annie Jacobs | Counselor | 6210 S 3200 W, Taylorsville, UT 84129-6536 | 2019-12-20 |
| 1710520267 | Laura B Rodriguez | Counselor | 2880 W 4700 S Ste G1, Taylorsville, UT 84129-2156 | 2019-10-28 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1689198715 | Mind and Body Integration | Counselor | 4950 S 2475 W Ste 100, Taylorsville, UT 84129-1810 | 2017-07-31 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1346793999 | Shari Harwood Counseling | Counselor | 5681 S Redwood Rd Unit 24, Taylorsville, UT 84123-5484 | 2016-08-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1710354196 | Tina Annette Brady | Counselor | 6363 S Faust Way, Taylorsville, UT 84129-6359 | 2015-09-01 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1578825519 | Justin Dean Gough | Counselor | 2904 Midwest Dr, Taylorsville, UT 84129-2555 | 2012-06-14 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
Please comment or provide details below to improve the information on KIMBERLY TEALA PAULINE PENNELL.
| 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.