Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Isaac Jordan Penner, MA, LPCC

Individual provider Professional Counselor · NPI 1053183061

Isaac Jordan Penner, MA, LPCC is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 2023, 3 years ago. Practices with Sage Neuroscience Center Inc, a 23-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Phone: (505) 379-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CTB-2026-0086 (NM)

Record details

NPI number1053183061
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sage Neuroscience Center Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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