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ANDREW CLARK PACANOWSKI LPC
NPI 1174307417
Counselor - Professional in Wichita Falls, TX

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
4722 TAFT BLVD STE 2, WICHITA FALLS, TX 76308(940) 691-1899(940) 691-3423 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrew Clark Pacanowski Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW CLARK PACANOWSKI LPC (NPI 1174307417) is an individual professional provider in Wichita Falls, Texas, licensed in Texas (84081) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174307417
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW CLARK PACANOWSKICredential: LPC
Location Address4722 TAFT BLVD STE 2Wichita Falls, TX 76308-4800
Mailing Address4722 Taft Blvd Ste 2Wichita Falls, TX 76308-4800 · (940) 691-1899 · Fax (940) 691-3423
Phone(940) 691-1899
Fax(940) 691-3423
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1174307417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 84081
4722 TAFT BLVD STE 2, Wichita Falls, TX 76308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Clark Pacanowski Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810406956
PECOS Enrollment IDI20250806004683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Pacanowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Taft Counseling Center Inc
1.8 mi
Counselor
2934 KEMP BLVD
Wichita Falls, TX 76308
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1922057769 (940) 691-1899

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH PRICE LPC
Counselor
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
DONNA LARAE COLLINS LPC
Counselor (Professional)
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
ORLANDO QUINONES CARABALLO
Counselor (Mental Health)
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
WALTER WAYNE SWINHOE LMFT
Marriage & Family Therapist
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
JEFFREY E BENNETT LMFT
Marriage & Family Therapist
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
KENNETH COTTON LPC
Counselor (Professional)
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899
DR. MARICON REVIS PSYD
Psychologist (Clinical)
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308
Wichita County (940) 691-1899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Pacanowski's NPI number?

The NPI number for Andrew Pacanowski is 1174307417. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Andrew Pacanowski located?

Andrew Pacanowski practices at 4722 Taft Blvd Ste 2, Wichita Falls, TX 76308. The listed phone number is (940) 691-1899.

What is Andrew Pacanowski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Andrew Pacanowski enrolled in Medicare?

Yes. Andrew Pacanowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Pacanowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pacanowski reassigns Medicare benefits to Taft Counseling Center Inc (Wichita Falls, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Pacanowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Pacanowski accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Andrew Pacanowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Pacanowski was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.