Individual provider Active NPI

Samm Harper Panos

  • Marriage & Family Therapist
  • Marana, AZ
National Provider Identifier
1164651253
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-10161 Issued in AZ
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

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003461 AZ Practitioner - Marriage and Family Therapist 2062864952 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2365348091, shared by 14 NPIs, 114 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

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

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Marana Health Center, Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.