SHELBY REED PENNICK MS, LPCC
NPI 1073264172
Counselor - Professional in Elizabethtown, KY

Q: What is Shelby Pennick's NPI number?

The NPI number for Shelby Pennick is 1073264172. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Shelby Pennick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Pennick was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since January 11, 2022PECOS Enrolled

110 VILLAGE DR, ELIZABETHTOWN, KY 42701(270) 594-1199 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Dec 15, 2023, Jan 11, 2022 (3 updates tracked since 2022).

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About Shelby Reed Pennick Ms, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY REED PENNICK MS, LPCC (NPI 1073264172) is an individual professional provider in Elizabethtown, Kentucky, licensed in Kentucky (278242) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elizabethtown.

NPPES Registry Identity

NPI1073264172

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHELBY REED PENNICKCredential: MS, LPCC

Location Address110 VILLAGE DRElizabethtown, KY 42701-2423

Mailing Address600 Havana CtLexington, KY 40511-8852 · (502) 219-7097

Phone(270) 594-1199

Sole ProprietorNo

Enumeration DateJanuary 11, 2022

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1073264172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 278242

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 260470 (KY)

110 VILLAGE DR, Elizabethtown, KY 42701

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Secondary Practice Location 1

Location 1413 Ashwood AveElizabethtown, KY 42701-4908 · Phone (270) 216-2591

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Reed Pennick Ms, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELCIE DAVIS ATR-BC, LPAT

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