Individual provider Active NPI

Vanessa Willis Pannell, LMSW

  • Mental Health Counselor
  • Southlake, TX
National Provider Identifier
1972416642
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60488 Issued in TX
Practice address
1205 S White Chapel Blvd Ste 265
Southlake, TX 76092-9331
Phone
(817) 200-4241
NPI assigned
Sep 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60488 TX Primary

Addresses

Primary practice location

1205 S White Chapel Blvd Ste 265
Southlake, TX 76092-9331

Mailing address

1205 S White Chapel Blvd Ste 265
Southlake, TX 76092-9331
Phone (817) 200-4241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1972416642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S WHITE CHAPEL BLVD STE 265",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929331",
            "telephone_number": "817-200-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S WHITE CHAPEL BLVD STE 265",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929331",
            "telephone_number": "817-200-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "VANESSA",
        "middle_name": "WILLIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "60488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.