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

Kimberly Teala Pauline Pennell, LPCA

Individual provider Mental Health Counselor · NPI 1952838831

Kimberly Teala Pauline Pennell, LPCA is a Mental Health Counselor in Taylorsville, North Carolina. Qualified in 2016, 10 years ago. Practices with Jodi Province Counseling Services PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017

Practice location Address checks out

393 3rd Ave SW
Taylorsville, NC 28681-4180
Phone: (828) 848-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A12979 (NC)

Record details

NPI number1952838831
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESMay 22, 2017

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jodi Province Counseling Services Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Taylorsville