Individual provider Active NPI

Keri Genise Pannell, LPC, LCAS

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1225348675
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8192 Issued in NC
Practice address
1100 Navaho Dr
Suite 125
Raleigh, NC 27609-7319
Phone
(919) 431-9874
Fax
(919) 431-9875
NPI assigned
Oct 19, 2010
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 8192 NC Primary

Addresses

Primary practice location

1100 Navaho Dr
Suite 125
Raleigh, NC 27609-7319

Mailing address

1100 Navaho Dr
Suite 125-126
Raleigh, NC 27609-7319
Phone (919) 431-9874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240419003218 NC Practitioner - Mental Health Counselor 2163861329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8192NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Solutions, LLC Mental Health CurrentSince Mar 6, 2024 Accepting new patients

Locations

5550 Sterrett Pl
Ste 200
Columbia, MD 21044
Phone (410) 884-6031

2500 Regency Pkwy
Cary, NC 27518
Phone (919) 654-6889

Organizations & group practices 1

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1225348675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NAVAHO DR",
            "address_2": "SUITE 125-126",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097319",
            "telephone_number": "919-431-9874",
            "fax_number": "919-431-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NAVAHO DR",
            "address_2": "SUITE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097319",
            "telephone_number": "919-431-9874",
            "fax_number": "919-431-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "KERI",
        "middle_name": "GENISE",
        "name_prefix": "Ms.",
        "credential": "LPC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.