Andrew Clark Pacanowski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84081 Issued in TX

Practice address

4722 Taft Blvd Ste 2
Wichita Falls, TX 76308-4800

Phone

(940) 691-1899

Fax

(940) 691-3423

NPI assigned

Aug 18, 2023

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taft Counseling Center IncGroup PAC ID 1254581564, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taft Counseling Center Inc

  • Counselor
  • Wichita Falls, TX
  • NPI 1922057769

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1174307417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 TAFT BLVD STE 2",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084800",
            "telephone_number": "940-691-1899",
            "fax_number": "940-691-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 TAFT BLVD STE 2",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084800",
            "telephone_number": "940-691-1899",
            "fax_number": "940-691-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACANOWSKI",
        "first_name": "ANDREW",
        "middle_name": "CLARK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Overfield, PHARM. D.
• Aisha Owens
• Oxygen Plus Medical Equipment Inc (A-Plus Medical Equipment)
• Debbie Ozee, CERTIDIED TEACHER
• Gary Ozier, M.D.
• Cory Blaine Pack, ATC, LAT
• Nikki Zenisa Gisala Palacay, PT
• Chelsea Palmer Ferguson, PMHNP-BC
• Bruce Lee Palmer, MD
• Andrew Pande, MD

• Professional Counselor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.

Verify at the official NPI Registry.