Active NPI
Sandy Pannett, LPC,LMFT,LCDC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1386746493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9022
- Practice address
- 3612 Silverwood Dr
Tyler, TX 75701-8612 - Phone
- (903) 504-5501
- Fax
- (903) 504-5551
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9022 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 4457 | TX |
Addresses
Primary practice location
3612 Silverwood Dr
Tyler, TX 75701-8612
Mailing address
3612 Silverwood Drive
Tyler, TX 75701-8612
Phone (903) 504-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9022 | TX | MD | Professional Counselor |
| 4457 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1386746493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 SILVERWOOD DRIVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018612",
"telephone_number": "903-504-5501",
"fax_number": "903-504-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 SILVERWOOD DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757018612",
"telephone_number": "903-504-5501",
"fax_number": "903-504-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNETT",
"first_name": "SANDY",
"name_prefix": "Mrs.",
"credential": "LPC,LMFT,LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9022",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.