Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699425017 Individual Practitioner Male Practitioner

Michael Reynard Penn

Peer Specialist • Beaver, WV

Professional Overview & Biography Verified Profile Summary

Michael Penn is a registered healthcare professional specializing in Peer Specialist in Beaver, WV. Practice services are available at 175 PHILPOTT LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 Philpott Ln

Beaver, WV 258139501

Telephone 3042549262
Associated Practice Facility / Clinic
🏢 Beckley Treatment Center, Llc Facility NPI 1598167496

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Beaver, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Beaver, WV (921 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Genese Cox

Counselor - Addiction (Substance Use Disorder)

NPI 1023832490
Amanda Berry , LPN

Licensed Practical Nurse

NPI 1093450942

Licensed Practical Nurse

Matthew Caldwell

Counselor - Addiction (Substance Use Disorder)

NPI 1093574030
Jamaica Oglesby , RBA, MS

Counselor - Addiction (Substance Use Disorder)

NPI 1104532829

RBA, Master of Science

Zackary Morris

Counselor - Addiction (Substance Use Disorder)

NPI 1134001936
Jeri Sarafin

Counselor - Addiction (Substance Use Disorder)

NPI 1134949167

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2022

Registered at 175 PHILPOTT LN, BEAVER, WV 258139501 (Tel: 3042549262)

📍
Updated Business Mailing Address March 28, 2022

Registered at 175 PHILPOTT LN, BEAVER, WV 258139501 (Tel: 3042549262)

👤
Provider Name / Credentials Updated March 28, 2022

Recorded as MICHAEL PENN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Counselor

🟢
Initial NPI Registration & Enumeration March 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Penn. Be the first to share your experience!

Sign in to leave a review for Michael Penn

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699425017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2022
Last Update: April 20, 2023
Sole Proprietor: No

Mailing Address

175 Philpott Ln

Beaver, WV 258139501

Phone: 3042549262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.