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MICHAEL REYNARD PENN
NPI 1699425017
Peer Specialist in Beaver, WV

Active since March 28, 2022
175 PHILPOTT LN, BEAVER, WV 25813(304) 254-9262 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Reynard Penn NPPES

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

MICHAEL REYNARD PENN (NPI 1699425017) is an individual peer specialist in Beaver, West Virginia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1699425017
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL REYNARD PENN
Location Address175 PHILPOTT LNBeaver, WV 25813-9501
Mailing Address175 Philpott LnBeaver, WV 25813-9501 · (304) 254-9262
Phone(304) 254-9262
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1699425017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X
175 PHILPOTT LN, Beaver, WV 25813
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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.

MRS. GENESE LASHAWN COX
Counselor (Addiction (Substance Use Disorder))
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
AMANDA MARIE BERRY LPN
Licensed Practical Nurse
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
MATTHEW BRADEN CALDWELL
Counselor (Addiction (Substance Use Disorder))
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
JAMAICA MONIQUE OGLESBY RBA, MS
Counselor (Addiction (Substance Use Disorder))
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
ZACKARY DAVID MORRIS
Counselor (Addiction (Substance Use Disorder))
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
JERI L SARAFIN
Counselor (Addiction (Substance Use Disorder))
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
KRISTEN ASHLEY SMITH
Licensed Practical Nurse
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262
ASHLEY NICHOLE MCMILLION LPN
Licensed Practical Nurse
175 PHILPOTT LN
BEAVER, WV 25813
Raleigh County (304) 254-9262

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 Michael Penn's NPI number?

The NPI number for Michael Penn is 1699425017. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Michael Penn located?

Michael Penn practices at 175 Philpott Ln, Beaver, WV 25813. The listed phone number is (304) 254-9262.

What is Michael Penn's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Penn was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.