MS. ELIZABETH WIELAND PENNINGTON
NPI 1316708225
Counselor - Professional in Spartanburg, SC

Q: What is Elizabeth Pennington's NPI number?

The NPI number for Elizabeth Pennington is 1316708225. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Elizabeth Pennington's specialty?

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

Active since January 18, 2024PECOS Enrolled

460 LANGDON ST, SPARTANBURG, SC 29302(864) 582-2411 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ms. Elizabeth Wieland Pennington NPPES

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

MS. ELIZABETH WIELAND PENNINGTON (NPI 1316708225) is an individual professional provider in Spartanburg, South Carolina, licensed in South Carolina (11722) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1316708225

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. ELIZABETH WIELAND PENNINGTON

Location Address460 LANGDON STSpartanburg, SC 29302-1614

Mailing AddressPo Box 5158Spartanburg, SC 29304-5158 · (864) 804-8763

Phone(864) 582-2411

Sole ProprietorNo

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2023

Enumeration DateJanuary 18, 2024

Last NPPES UpdateDecember 30, 2025

NPPES CertifiedDecember 30, 2025

✔ NPI 1316708225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 11722

460 LANGDON ST, Spartanburg, SC 29302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Wieland Pennington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062993306

PECOS Enrollment IDI20260224004289

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Pennington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regenesis Organization Community Health Center

1.8 mi

Federally Qualified Health Center (FQHC)

750 S. CHURCH STREET
Spartanburg, SC 29306

Reassigned Medicare billing, South Carolina enrollment
92 clinicians in this Medicare group

NPI 1194710426 (864) 582-2411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JACQUELYN WALKER

Counselor (Professional)