Individual provider Active NPI

Victoria Patricia Panna, PHD, LPC, ACS, NCC

  • Professional Counselor
  • Bradenton, FL
National Provider Identifier
1194062372
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008590 Issued in PA
Practice address
5232 11TH St E
Bradenton, FL 34203-2628
Phone
(913) 814-7765
NPI assigned
Jan 8, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00583100 NJ
Professional Counselor 101YP2500X PC008590 PA Primary

Addresses

Primary practice location

5232 11TH St E
Bradenton, FL 34203-2628

Mailing address

5232 11TH St E
Bradenton, FL 34203-2628
Phone (973) 814-7765

Other names 1

  • Victoria Patricia Panna Lappin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250214002367 NJ Practitioner - Mental Health Counselor 7810427127 Reassigns benefits to 1 organization
I20250604000112 PA Practitioner - Mental Health Counselor 7810427127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37PC00583100NJMDProfessional Counselor
PC008590PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 25, 2025 Accepting new patients
Panna Counseling and Consulting Services, LLC Professional CurrentSince Sep 28, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Professional CurrentSince Jan 7, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • Direct secure messaging: victoriapannalappin@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1194062372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 11TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032628",
            "telephone_number": "973-814-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 11TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032628",
            "telephone_number": "913-814-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNA",
        "first_name": "VICTORIA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, ACS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00583100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PANNA LAPPIN",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.