KATHERINE PENUELA
NPI 1053903286
Counselor - Mental Health in Marietta, GA
About Katherine Penuela NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE PENUELA (NPI 1053903286) is an individual mental health provider in Marietta, Georgia and active in the NPI registry since February 2021. She has opted out of Medicare through March 28, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Katherine Penuela has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2024 through March 28, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30067
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine Penuela's NPI number?
The NPI number for Katherine Penuela is 1053903286. It was assigned to this individual provider in the NPPES registry on February 9, 2021.
Where is Katherine Penuela located?
Katherine Penuela practices at 1640 Powers Ferry Rd SE Ste 110, Marietta, GA 30067. The listed phone number is (888) 551-5168.
What is Katherine Penuela's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Katherine Penuela enrolled in Medicare?
No. Katherine Penuela has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Katherine Penuela was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine Penuela · NPI 1053903286
Mental Health provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since February 9, 2021.
## Identity
- **NPI:** 1053903286 (Entity type: Individual)
- **Enumerated:** February 9, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1640 POWERS FERRY RD SE STE 110, Marietta, GA 30067-5491
- **Phone:** (888) 551-5168
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053903286) · Data from the CMS NPPES public registry.