Active NPI
Colleen P Panunzio, MA,LPC
- Counselor
- Woodstock, GA
National Provider Identifier
1821080102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 251 River Park North Dr
Woodstock, GA 30188-7835 - Phone
- (678) 557-5996
- NPI assigned
- Aug 22, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 003201 | GA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
251 River Park North Dr
Woodstock, GA 30188-7835
Mailing address
251 River Park North Dr
Woodstock, GA 30188-7835
Phone (678) 557-5996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213000361 | FL | Practitioner - Mental Health Counselor | 4284077686 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Abundance of Love and Wealth, LLC
Practice addresses (Care Compare)
3333 Clark Rd
Suite 110
Sarasota, FL 34231-8437
Phone (941) 363-6004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundance of Love and Wealth, LLC | Current | Accepting new patients |
Locations
3333 Clark Rd
Ste 110
Sarasota, FL 34231
Phone (941) 363-6004
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1821080102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 RIVER PARK NORTH DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887835",
"telephone_number": "678-557-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 RIVER PARK NORTH DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887835",
"telephone_number": "678-557-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANUNZIO",
"first_name": "COLLEEN",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "MA,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "003201",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.