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FLOYD MARTIN PENNA LPC, CADC III, CSAT
NPI 1407000383
Counselor - Professional in Portland, OR

Active since November 05, 2008
12414 E BURNSIDE ST, PORTLAND, OR 97233(503) 997-8664(503) 254-2196 Get Directions Write a Review

NPPES record last updated: February 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Floyd Martin Penna Lpc, Cadc Iii, Csat NPPES

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

FLOYD MARTIN PENNA LPC, CADC III, CSAT (NPI 1407000383) is an individual professional provider in Portland, Oregon, licensed in Oregon (C2177) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1407000383
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameFLOYD MARTIN PENNACredential: LPC, CADC III, CSAT
Location Address12414 E BURNSIDE STPortland, OR 97233-1044
Mailing Address12414 E Burnside StPortland, OR 97233-1044 · (503) 997-8664 · Fax (503) 254-2196
Phone(503) 997-8664
Fax(503) 254-2196
Sole ProprietorYes
Enumeration DateNovember 5, 2008
Last NPPES UpdateFebruary 21, 2015
✔ NPI 1407000383 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 OR · C2177
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 09-12-74 (OR)
12414 E BURNSIDE ST, Portland, OR 97233
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Other Identifiers 1

Medicaid1407000383OR

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 Floyd Penna's NPI number?

The NPI number for Floyd Penna is 1407000383. It was assigned to this individual provider in the NPPES registry on November 5, 2008.

Where is Floyd Penna located?

Floyd Penna practices at 12414 E Burnside St, Portland, OR 97233. The listed phone number is (503) 997-8664.

What is Floyd Penna's specialty?

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

When was this NPI record last updated?

The NPPES record for Floyd Penna was last updated on February 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.