ANDREW CLARK PACANOWSKI LPC NPI 1174307417

NPI Information

  • NPI: 1174307417
  • Provider Name: ANDREW CLARK PACANOWSKI, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4722 TAFT BLVD STE 2
    WICHITA FALLS, TX
    ZIP 76308
  • Phone: (940) 691-1899

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NPI Details

Andrew Clark Pacanowski, LPC is a professional counselor in Wichita Falls, TX with 8 years of experience. Andrew Clark Pacanowski, LPC NPI is 1174307417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4722 TAFT BLVD STE 2
WICHITA FALLS, TX
ZIP 76308-800
Phone: (940) 691-1899
Fax: (940) 691-3423

The NPI 1174307417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/18/2023 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional84081TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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