Gina Fon Pennington, LCPC
Counselor, Mental Health in Bowie, MD. Individual provider (NPI-1).
NPI number1295089142
StatusActive
Last updated in NPPESOct 30, 2012
Details
- NPI
- 1295089142
- Entity type
- Individual (NPI-1)
- Name
- Ms. Gina Fon Pennington
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2012
- Last updated
- Oct 30, 2012
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LC4474 | MD | Yes |
Practice location
12331 Quiet Owl LnBowie, MD 20720-4308
Phone 301-919-1158
Mailing address
839 Bestgate RdSuite 300
Annapolis, MD 21401-3472
Phone 301-919-1158 · Fax 410-224-3711
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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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