DR. JUSTIN S PANNECK M.S., PH.D., LPC
NPI 1427500305
Counselor - Professional in Portland, OR

Active since October 26, 2016
1320 NW 23RD AVE, PORTLAND, OR 97210(503) 545-8688 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Jan 28, 2022, Oct 26, 2016 (3 updates tracked since 2016).

About Dr. Justin S Panneck M.s., Ph.d., Lpc NPPES

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

DR. JUSTIN S PANNECK M.S., PH.D., LPC (NPI 1427500305) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6578) and active in the NPI registry since October 2016. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427500305
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JUSTIN S PANNECKCredential: M.S., PH.D., LPC
Location Address1320 NW 23RD AVEPortland, OR 97210-2602
Mailing Address8333 Sw Pointer Way Apt IPortland, OR 97225-7313 · (503) 545-8688 · Fax (503) 263-6278
Sole ProprietorYes
Enumeration DateOctober 26, 2016
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1427500305 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 OR · C6578
1320 NW 23RD AVE, Portland, OR 97210

Secondary Practice Locations 2

Location 18333 SW Pointer Way Apt IPortland, OR 97225-7313 · Phone (503) 545-8688
Location 222018 S Central Point RdCanby, OR 97013-8705 · Phone (503) 343-9929 · Fax (503) 263-6278

Other Providers at the Same Location NPPES

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

Massage Therapist
1320 NW 23RD AVE
PORTLAND, OR 97210

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 Justin Panneck's NPI number?

The NPI number for Justin Panneck is 1427500305. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Justin Panneck located?

Justin Panneck practices at 1320 NW 23rd Ave, Portland, OR 97210. The listed phone number is (503) 545-8688.

What is Justin Panneck's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Panneck was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.