Individual provider Active NPI

Erin Lee Pannell, M.ED, LPC, RPT

  • Mental Health Counselor
  • Manchaca, TX
National Provider Identifier
1063422855
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17905 Issued in TX
Practice address
1715 FM 1626
Suite 103
Manchaca, TX 78652-3553
Phone
(512) 280-4425
Fax
(512) 280-4656
NPI assigned
Aug 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 17905 TX
Mental Health Counselor 101YM0800X 17905 TX Primary

Addresses

Primary practice location

1715 FM 1626
Suite 103
Manchaca, TX 78652-3553

Mailing address

1715 FM 1626
Suite 103
Manchaca, TX 78652-3553
Phone (512) 280-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
17905TXMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063422855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FM 1626",
            "address_2": "SUITE 103",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523553",
            "telephone_number": "512-280-4425",
            "fax_number": "512-280-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FM 1626",
            "address_2": "SUITE 103",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523553",
            "telephone_number": "512-280-4425",
            "fax_number": "512-280-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "ERIN",
        "middle_name": "LEE",
        "credential": "M.ED, LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "17905",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.