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ALICIA PENNYMON CPRM
NPI 1962055277
Peer Specialist in Detroit, MI

Active since July 17, 2019
1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 365-3141(313) 365-3101 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alicia Pennymon Cprm NPPES

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

ALICIA PENNYMON CPRM (NPI 1962055277) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1962055277
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALICIA PENNYMONCredential: CPRM
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (313) 365-3141
Phone(313) 365-3141
Fax(313) 365-3101
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateJuly 19, 2019
✔ NPI 1962055277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1121 E MCNICHOLS RD, Detroit, MI 48203
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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.

JEREMY ALAN WILMOT
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
KIMBERLY JAN GLENN
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 324-8900
MS. JACQUELINE DENISE DOUGLAS
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
MR. JAY ANDRE YOUNG SR.
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MR. RODNEY ALLEN DUNCAN
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
JOHN LEWIS EBERHART CAC-I
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MRS. FELICIA D BEARD
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
T'MANDO ALLEN DENSON-EL SR.
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100

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 Alicia Pennymon's NPI number?

The NPI number for Alicia Pennymon is 1962055277. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Alicia Pennymon located?

Alicia Pennymon practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 365-3141.

What is Alicia Pennymon'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 Alicia Pennymon was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.