Victoria Pennant, LPC
Counselor, Professional in Manassas, VA. Individual provider (NPI-1).
NPI number1104496512
StatusActive
Last updated in NPPESMar 26, 2026
Details
- NPI
- 1104496512
- Entity type
- Individual (NPI-1)
- Name
- Victoria Pennant
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Mar 26, 2026
- Last updated
- Mar 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701010608 | VA | Yes |
Practice location
7960 Donegan Dr Ste 200Manassas, VA 20109-8236
Phone 833-587-8825 · Fax 757-970-0274
Mailing address
780 Lynnhaven Pkwy Ste 340Virginia Beach, VA 23452-7361
Phone 757-694-4723 · Fax 757-301-8803
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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