Mrs Kelsey Jo Penix, LPC - MI, LMHC - NM is a
Counselor - Mental Health based in Otisville, Michigan. Mrs Kelsey Jo Penix is licensed to practice in Michigan (license number 6401017288) and her current practice location is
9445 Patricia Dr, Otisville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 210-8857.
NPI number for Mrs Kelsey Jo Penix is 1407376536 and her current mailing address is 9445 Patricia Dr, Otisville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407376536.
Healthcare Provider's Profile
Full Name | Mrs Kelsey Jo Penix |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 9445 Patricia Dr, Otisville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407376536
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 05/10/2019
Medical Identifiers
Medical identifiers for Mrs Kelsey Jo Penix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407376536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | PV0000000820594 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | CMH0198831 (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | 6401017288 (Michigan) | Primary |
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. Mrs Kelsey Jo Penix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelsey Jo Penix, LPC - MI, LMHC - NM 9445 Patricia Dr, Otisville, MI 48463-9406 Ph: (810) 210-8857 | Mrs Kelsey Jo Penix, LPC - MI, LMHC - NM 9445 Patricia Dr, Otisville, MI 48463-9406 Ph: (810) 210-8857 |
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