Kimberly Teala Pauline Pennell, LPCA in Taylorsville, NC

Kimberly Teala Pauline Pennell, LPCA is a medicare enrolled "Counselor - Mental Health" provider in Taylorsville, North Carolina. Her current practice location is 393 3rd Ave Sw, Taylorsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 848-2515.

Kimberly Teala Pauline Pennell is licensed to practice in North Carolina (license number A12979) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952838831.

Contact Information

	Kimberly Teala Pauline Pennell, LPCA
	393 3rd Ave Sw, Taylorsville, NC 28681-4180
	(828) 848-2515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Teala Pauline Pennell
Gender	Female
Speciality	Counselor - Mental Health
Location	393 3rd Ave Sw, Taylorsville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952838831
Provider Enumeration Date: 05/22/2017
Last Update Date: 05/22/2017

Medicare PECOS Information:

PECOS PAC ID: 5193177541
Enrollment ID: I20240122001318

Medical Identifiers

Medical identifiers for Kimberly Teala Pauline Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952838831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A12979 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Teala Pauline Pennell allows following entities to bill medicare on her behalf.

Entity Name	Jodi Province Counseling Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194050435 PECOS PAC ID: 3678726569 Enrollment ID: O20121228000228

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Teala Pauline Pennell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Teala Pauline Pennell, LPCA 393 3rd Ave Sw, Taylorsville, NC 28681-4180 Ph: (828) 848-2515	Kimberly Teala Pauline Pennell, LPCA 393 3rd Ave Sw, Taylorsville, NC 28681-4180 Ph: (828) 848-2515

Reviews and Comments

Counselor in Taylorsville, NC

Kanzis Malon Lackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 E Main Ave, Taylorsville, NC 28681 Phone: 704-872-0123
Kimberly Rochelle Black, LPC;LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 E Main Ave, Taylorsville, NC 28681 Phone: 704-872-0234
Linda Akers England, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Main Ave, Taylorsville, NC 28681 Phone: 828-850-4508 Fax: 828-635-4142
Mrs. Judy Daniels Mclaughlin, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Center St, Taylorsville, NC 28681 Phone: 828-635-7371
Diane Gaines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 397 3rd Avenue Sw, Taylorsville, NC 28681 Phone: 828-632-7005
Miss Kara Jo-lyn Moose, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 864 Lake Vista Ln, Taylorsville, NC 28681 Phone: 828-632-5738
Martha Cornelia Rhyne Winkler, LPC LICENSED PROFESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Bulldog Lane, West Alexander Middle School, Taylorsville, NC 28681 Phone: 828-495-4611 Fax: 828-495-3527

Kimberly Teala Pauline Pennell, LPCA - Medicare Counselor in Taylorsville, NC