Kimberly Teala Pauline Pennell, LPCA
NPI 1952838831ActiveIndividual· Counselor, Mental Health· Taylorsville, NC
Counselor, Mental Health (LPCA) with Jodi Province Counseling Services PLLC, practicing in Taylorsville, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1952838831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCA |
| Sole proprietor | No |
| NPI issued | May 22, 2017 |
| Last updated in NPPES | May 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | A12979 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Jodi Province Counseling Services PLLCWilkesboro, NC · 13 clinicians
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