Active NPI
Asia Panzino, MA
- Professional Counselor
- Bensalem, PA
National Provider Identifier
1063142867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017507
- Practice address
- 4629 Belmont Ave
Bensalem, PA 19020-1001 - Phone
- (609) 968-0185
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PA | ||
| Professional Counselor | 101YP2500X | PC017507 | PA | Primary |
Addresses
Primary practice location
4629 Belmont Ave
Bensalem, PA 19020-1001
Mailing address
4629 Belmont Ave
Bensalem, PA 19020-1001
Phone (609) 968-0185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN4305 | Other | PA | ASSOCIATE THERAPIST WITH THRIVEWORKS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1518 Walnut St
Ste 208
Philadelphia, PA 19102
Phone (215) 642-8968
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1063142867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 BELMONT AVE",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201001",
"telephone_number": "609-968-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 BELMONT AVE",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201001",
"telephone_number": "609-968-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZINO",
"first_name": "ASIA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATE THERAPIST WITH THRIVEWORKS",
"identifier": "CN4305",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.