Timothy Lloyd Panula, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2837 - 125 Issued in WI

Practice address

2231 Catlin Ave
Suite #310
Superior, WI 54880-5137

Phone

(715) 395-7825

Fax

(715) 395-7826

NPI assigned

Jan 7, 2008

Sex

Male

Sole proprietor

Yes

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 MN

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, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Rush IncGroup PAC ID 8224131750, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Rush Inc

  • Psychologist
  • Stillwater, MN
  • NPI 1801942040
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1548445778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548800085",
            "telephone_number": "715-395-7825",
            "fax_number": "715-395-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "address_2": "SUITE #310",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-395-7825",
            "fax_number": "715-395-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANULA",
        "first_name": "TIMOTHY",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2837 - 125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Orlandi
• Susan Kay Ostern, COTA
• Zachary T Otto, PHARMD
• Susan M Paine, RPH
• Katherine Marie Panula, LPC
• Kelly Kristine Parish-Larson, RN, CNP
• Paul Industries LLC
• John Paul, PH.D., L.P.C.
• Angela Penney, LPC
• Celeste Pennington, LCSW

• Professional Counselor in Superior, WI
• Providers in Superior, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.