JACOB PANNELL
NPI 1396519880
Counselor - Addiction (Substance Use Disorder) in Lewiston, ID

Active since November 14, 2023
1630 23RD AVE BLDG 2, LEWISTON, ID 83501(208) 746-7784(208) 798-8652 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Pannell NPPES

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

JACOB PANNELL (NPI 1396519880) is an individual addiction (substance use disorder) provider in Lewiston, Idaho and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1396519880
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB PANNELL
Location Address1630 23RD AVE BLDG 2Lewiston, ID 83501-6350
Mailing AddressPo Box 812Lewiston, ID 83501-0812
Fax(208) 798-8652
Sole ProprietorNo
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
NPI 1396519880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1630 23RD AVE BLDG 2, Lewiston, ID 83501

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1630 23RD AVE BLDG 2
LEWISTON, ID 83501
Peer Specialist
1630 23RD AVE BLDG 2
LEWISTON, ID 83501
Pharmacist (Ambulatory Care)
1630 23RD AVE BLDG 2
LEWISTON, ID 83501

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 Jacob Pannell's NPI number?

The NPI number for Jacob Pannell is 1396519880. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Jacob Pannell located?

Jacob Pannell practices at 1630 23rd Ave Bldg 2, Lewiston, ID 83501. The listed phone number is (208) 746-7784.

What is Jacob Pannell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Pannell was last updated on November 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.