Active NPI
Samm Harper Panos
- Marriage & Family Therapist
- Marana, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-10161
- Practice address
- 13395 N Marana Main St BLDG B
Marana, AZ 85653-7008 - Phone
- (520) 682-1091
- Fax
- (520) 682-4132
- NPI assigned
- Jul 9, 2009
- 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 | AZ | ||
| Marriage & Family Therapist | 106H00000X | LMFT-10161 | AZ | Primary |
Addresses
Primary practice location
13395 N Marana Main St BLDG B
Marana, AZ 85653-7008
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-1091
Other practice location 1
4550 E Bell Rd Ste 147
Phoenix, AZ 85032-9381
Phone (602) 633-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marana Health Center Inc
Practice addresses (Care Compare)
13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111
2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center Inc | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Marana Health Center, Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Composs Mental Health | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients | |
| Compass Mental Health, LLC | Past | Accepting new patients |
Locations
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445
13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091
2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224
899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100
2325 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 616-1510
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095
2945 W Ina Rd
Ste 215
Tucson, AZ 85741
Organizations & group practices 7
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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AZ
-
dba MHC Healthcare Dental Office
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
dba MHC Healthcare
- Federally Qualified Health Center (FQHC)
- Marana, AZ
- NPI 1447263405
Marriage & Family Therapist
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1881737849
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1316279680
-
dba MHC Integrated Care Pharmacy
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1164651253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-1091",
"fax_number": "520-682-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13395 N MARANA MAIN ST BLDG B",
"city": "MARANA",
"state": "AZ",
"postal_code": "856537008",
"telephone_number": "520-682-1091",
"fax_number": "520-682-4132"
}
],
"practiceLocations": [
{
"address_1": "4550 E Bell Rd Ste 147",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850329381",
"country_code": "US",
"telephone_number": "602-633-6200",
"fax_number": "602-633-6227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANOS",
"first_name": "SAMM",
"middle_name": "HARPER",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT-10161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marana, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
- 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.