DANIEL RAY PENNYWELL
NPI 1376206482
Counselor - Addiction (Substance Use Disorder) in Bossier City, LA

Active since October 15, 2021
1505 DOCTORS DR, BOSSIER CITY, LA 71111(318) 584-7133 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2021, Oct 15, 2021 (2 updates tracked since 2021).

About Daniel Ray Pennywell NPPES

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

DANIEL RAY PENNYWELL (NPI 1376206482) is an individual addiction (substance use disorder) provider in Bossier City, Louisiana, licensed in Louisiana (CIT-5353) and active in the NPI registry since October 2021. He maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1376206482
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDANIEL RAY PENNYWELL
Location Address1505 DOCTORS DRBossier City, LA 71111-3321
Mailing Address1505 Doctors DrBossier City, LA 71111-3321 · (318) 584-7133
Sole ProprietorNo
Enumeration DateOctober 15, 2021
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
NPI 1376206482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in LA · CIT-5353
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CIT-5353 (LA)
1505 DOCTORS DR, Bossier City, LA 71111

Secondary Practice Location 1

Location 13821 Southern AveShreveport, LA 71106-1033 · Phone (318) 946-8157

Other Providers at the Same Location NPPES 9

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

Counselor
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Counselor (Addiction (Substance Use Disorder))
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Case Manager/Care Coordinator
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Peer Specialist
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Case Manager/Care Coordinator
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Case Manager/Care Coordinator
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Case Manager/Care Coordinator
1505 DOCTORS DR
BOSSIER CITY, LA 71111
Case Manager/Care Coordinator
1505 DOCTORS DR
BOSSIER CITY, LA 71111

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 Daniel Pennywell's NPI number?

The NPI number for Daniel Pennywell is 1376206482. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Daniel Pennywell located?

Daniel Pennywell practices at 1505 Doctors Dr, Bossier City, LA 71111. The listed phone number is (318) 584-7133.

What is Daniel Pennywell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Daniel Pennywell was last updated on October 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.