MELVA JEANNETTE PENNE MA LPC NCC CGACII NPI 1679677926

NPI Information

NPI: 1679677926
Provider Name: MELVA JEANNETTE PENNE, MA, LPC, NCC, CGACII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2600 CENTER ST NE
SALEM, OR
ZIP 97301
Phone: (503) 947-4240
Get Directions

Melva Jeannette Penne, MA, LPC, NCC, CGACII is an addiction (substance use disorder) counselor in Salem, OR. Melva Jeannette Penne, MA, LPC, NCC, CGACII NPI is 1679677926. 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:

2600 CENTER ST NE
SALEM, OR
ZIP 97301-669
Phone: (503) 947-4240

The enumeration date for this NPI number is 9/8/2006 and was last updated on 3/15/2011.

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	101YM0800X	Counselor	Mental Health	NCC-201117		No
2	101YP2500X	Counselor	Professional	C1987	OREGON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	G 08-04-06	OREGON	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	970758	MEDICAID	ARIZONA
2	100113	OTHER	ARIZONA	AMISYS ID

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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