Michael Panico, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1161/1181 N El Dorado PL
Tucson, AZ 85715-4607

Phone

(520) 748-7108

NPI assigned

Oct 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Pathways of Arizona, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1275845646
  Medicare reassignment NPD
• Pathways of Arizona, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1336249291
  NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1730516865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108",
            "fax_number": "520-570-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161/1181 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-1083",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876656",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panchesin Chiropractic Center PC
• Sharad N Pandhi, D.D.S.
• Tamara Pando
• Gautam Panduranga, MD
• Stephen Michael Panebianco, MD
• Carmen Panizo
• Matthew Richard Pankratz, PT, DPT
• Jessica Sue Pannell, SPEECH LANGUAGE PATH
• Nimrah Mahmood Pannu
• Stephanie Pantaleo, DPT

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.