KIMBERLY TEALA PAULINE PENNELL LPCA
NPI 1952838831
Counselor - Mental Health in Taylorsville, NC
About Kimberly Teala Pauline Pennell Lpca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY TEALA PAULINE PENNELL LPCA (NPI 1952838831) is an individual mental health provider in Taylorsville, North Carolina, licensed in North Carolina (A12979) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Teala Pauline Pennell Lpca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Pennell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilkesboro, NC 28697
- Reassigned Medicare billing, North Carolina enrollment
- 20 clinicians in this Medicare group
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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Pennell's NPI number?
The NPI number for Kimberly Pennell is 1952838831. It was assigned to this individual provider in the NPPES registry on May 22, 2017.
Where is Kimberly Pennell located?
Kimberly Pennell practices at 393 3rd Ave SW, Taylorsville, NC 28681. The listed phone number is (828) 848-2515.
What is Kimberly Pennell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Pennell enrolled in Medicare?
Yes. Kimberly Pennell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kimberly Pennell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Pennell reassigns Medicare benefits to Jodi Province Counseling Services PLLC (Wilkesboro, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Pennell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Pennell accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kimberly Pennell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Pennell was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kimberly Teala Pauline Pennell, LPCA · NPI 1952838831
Mental Health provider in Taylorsville, North Carolina. Individual provider, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1952838831 (Entity type: Individual)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A12979 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 393 3RD AVE SW, Taylorsville, NC 28681-4180
- **Phone:** (828) 848-2515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jodi Province Counseling Services PLLC (NPI 1194050435, Wilkesboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1952838831) · Data from the CMS NPPES public registry.