Active NPI
Judith D Panas, L.C.S.W.
- Mental Health Counselor
- New York, NY
National Provider Identifier
1164560785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R-055047-1
- Practice address
- 103 Franklin St
New York, NY 10013-3000 - Phone
- (212) 431-6259
- NPI assigned
- Feb 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R-055047-1 | NY | Primary |
Addresses
Primary practice location
103 Franklin St
New York, NY 10013-3000
Mailing address
103 Franklin St
New York, NY 10013-3000
Phone (212) 431-6259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161205000289 | NY | Practitioner - Clinical Social Worker | 0941580245 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
103 Franklin St
New York, NY 10013-3000
Phone (212) 431-6259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-055047-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1164560785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FRANKLIN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133000",
"telephone_number": "212-431-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FRANKLIN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133000",
"telephone_number": "212-431-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANAS",
"first_name": "JUDITH",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R-055047-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.