Active NPI
Nancy L Panzica, LCPC
- Mental Health Counselor
- Homewood, IL
National Provider Identifier
1093280133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180014343
- Practice address
- 18328 Ashland Ave
Homewood, IL 60430-3403 - Phone
- (708) 820-8250
- Fax
- (708) 478-3036
- NPI assigned
- Oct 4, 2018
- Last updated
- Mar 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 178013844 | IL | |
| Mental Health Counselor | 101YM0800X | 180014343 | IL | Primary |
Addresses
Primary practice location
18328 Ashland Ave
Homewood, IL 60430-3403
Mailing address
1706 Lynwood CT
Flossmoor, IL 60422-1932
Phone (708) 275-7195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178013844 | IL | MD | Mental Health Counselor |
| 180014343 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Adult & Pediatric Care, S.C. | Current | Accepting new patients | |
| Balance Counseling & Wellness | Current | Accepting new patients | |
| Forefront Adult & Pediatric Care | Current | Accepting new patients |
Locations
17900 Dixie Hwy
Ste 1
Homewood, IL 60430
Phone (708) 929-8333
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Homewood, IL
- NPI 1346715489
-
- Primary Care Clinic/Center
- New Lenox, IL
- NPI 1467667659
-
- Primary Care Clinic/Center
- Mokena, IL
- NPI 1073762555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1093280133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 LYNWOOD CT",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221932",
"telephone_number": "708-275-7195",
"fax_number": "708-478-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18328 ASHLAND AVE",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604303403",
"telephone_number": "708-820-8250",
"fax_number": "708-478-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZICA",
"first_name": "NANCY",
"middle_name": "L",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178013844",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180014343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.