MRS. NICOLA MARIE PENN LPC LMFT NPI 1215008842

NPI Information

NPI: 1215008842
Provider Name: MRS. NICOLA MARIE PENN, LPC, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
548 N CENTRAL AVE
BATESVILLE, AR
ZIP 72501
Phone: (870) 793-7162
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MRS. Nicola Marie Penn, LPC, LMFT is a mental health counselor in Batesville, AR. MRS. Nicola Marie Penn, LPC, LMFT NPI is 1215008842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

548 N CENTRAL AVE
BATESVILLE, AR
ZIP 72501-405
Phone: (870) 793-7162
Fax: (870) 612-5173

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		M0405001	ARKANSAS	No
2	101YM0800X	Counselor	Mental Health	P0405022	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5X867	OTHER	ARKANSAS	AR BLUE CROSS BLUE SHIEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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