MS. JOHANNA PENA RIC NPI 1265217699

NPI Information

  • NPI: 1265217699
  • Provider Name: MS. JOHANNA PENA, RIC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19248 TIDEWATER TRL
    FREDERICKSBURG, VA
    ZIP 22408
  • Phone: (954) 881-2169

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NPI Details

MS. Johanna Pena, RIC is a professional counselor in Fredericksburg, VA with 5 years of experience. MS. Johanna Pena, RIC NPI is 1265217699. 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:

19248 TIDEWATER TRL
FREDERICKSBURG, VA
ZIP 22408-357
Phone: (954) 881-2169

The NPI 1265217699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/24/2023 and was last updated on 8/24/2023.

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
1101YP2500XCounselorProfessionalVIRGINIAYes

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: 11/21/2025

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