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ALEXIS ERIN PENNINGTON LCMHC
NPI 1366196180
Counselor - Mental Health in Rutland, VT

Active since February 10, 2022Opted out of Medicare · through Mar 12, 2028
78 S MAIN ST, RUTLAND, VT 05701(802) 747-7699(802) 747-7699 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexis Erin Pennington Lcmhc NPPES

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

ALEXIS ERIN PENNINGTON LCMHC (NPI 1366196180) is an individual mental health provider in Rutland, Vermont, licensed in Vermont (068.0134454) and active in the NPI registry since February 2022. She has opted out of Medicare through March 12, 2028.

NPPES Registry Identity

NPI1366196180
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXIS ERIN PENNINGTONCredential: LCMHC
Location Address78 S MAIN STRutland, VT 05701-4594
Mailing Address78 S Main StRutland, VT 05701-4594 · (802) 747-7699 · Fax (802) 747-7699
Phone(802) 747-7699
Fax(802) 747-7699
Sole ProprietorYes
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1366196180 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 VT · 068.0134454
78 S MAIN ST, Rutland, VT 05701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alexis Erin Pennington Lcmhc 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 12, 2024 through March 12, 2028.

Opt-Out Effective DateMarch 12, 2024
Opt-Out In Effect ThroughMarch 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

LORENE ZEIF LICSW
Community Health Worker
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 779-4383
JAMIE ELIZABETH GILDEA
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 712-4862
RYAN MCLAUGHLIN
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 775-2381
KAREN SABATASO MA
Counselor (Mental Health)
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 775-2381
ALEXA RITCHIE
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 770-5483
KATELYN JAX
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 775-2381
MIKI-LYNN LEHOISKY
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 775-2381
PAUL BLACK LCMHC
Counselor (Mental Health)
78 S MAIN ST
RUTLAND, VT 05701
Rutland County (802) 770-5418

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 Alexis Pennington's NPI number?

The NPI number for Alexis Pennington is 1366196180. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Alexis Pennington located?

Alexis Pennington practices at 78 S Main St, Rutland, VT 05701. The listed phone number is (802) 747-7699.

What is Alexis Pennington's specialty?

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

Is Alexis Pennington enrolled in Medicare?

No. Alexis Pennington has opted out of Medicare through March 12, 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 Alexis Pennington was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.