Tracy Lynette Pannunzio, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1762 Issued in WY

Practice address

407 W 27TH Ave
Torrington, WY 82240-1839

Phone

(307) 338-8099

Fax

(307) 333-7321

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Connections Mental HealthGroup PAC ID 5496164535, 3 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.

• Healing Connections Mental Health

  • Professional Counselor
  • Torrington, WY
  • NPI 1245823483
  Medicare reassignment Care Compare group NPD Authorized official
• St. Joseph'S Children'S Home

  • Psychiatric Residential Treatment Facility
  • Torrington, WY
  • NPI 1376688580
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1861995433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 27TH AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401839",
            "telephone_number": "307-338-8099",
            "fax_number": "307-333-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 27TH AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401839",
            "telephone_number": "307-338-8099",
            "fax_number": "307-333-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNUNZIO",
        "first_name": "TRACY",
        "middle_name": "LYNETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "1025",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2478",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele D Ogburn, MSW
• Robbalee Kae Oleson, DNP, PMHNP
• Tylar Osterman
• James Ottman, DPT
• Pamela Paknis
• Sandra Marie Parish, PTA
• Jessica Laura Parsons, MHC, PPC
• John Patrick
• Crystal Patterson
• Joseph Patterson, PPC

• Professional Counselor in Torrington, WY
• Providers in Torrington, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.