KALLI KRISTIN PENNER LCSW
NPI 1174033112
Counselor - Mental Health in Venedy, IL

Active since October 04, 2017
13317 COUNTY HIGHWAY 12, VENEDY, IL 62214(618) 317-1537 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kalli Kristin Penner Lcsw NPPES

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

KALLI KRISTIN PENNER LCSW (NPI 1174033112) is an individual mental health provider in Venedy, Illinois, licensed in Illinois (149.017923) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1174033112
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKALLI KRISTIN PENNERCredential: LCSW
Location Address13317 COUNTY HIGHWAY 12Venedy, IL 62214-1103
Mailing Address1848 Plum StJacksonville, IL 62650-2243 · (217) 883-0044
Sole ProprietorYes
Enumeration DateOctober 4, 2017
NPI 1174033112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 149.017923
13317 COUNTY HIGHWAY 12, Venedy, IL 62214

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214
Social Worker (Clinical)
13317 COUNTY HIGHWAY 12
VENEDY, IL 62214

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 Kalli Penner's NPI number?

The NPI number for Kalli Penner is 1174033112. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Kalli Penner located?

Kalli Penner practices at 13317 County Highway 12, Venedy, IL 62214. The listed phone number is (618) 317-1537.

What is Kalli Penner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kalli Penner was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.