ANTHONY ENRIQUE ANNICCHIARICO LPC, LPCC, LADAC
NPI 1770990772
Counselor - Mental Health in Grants Pass, OR
About Anthony Enrique Annicchiarico Lpc, Lpcc, Ladac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY ENRIQUE ANNICCHIARICO LPC, LPCC, LADAC (NPI 1770990772) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Anthony Enrique Annicchiarico Lpc, Lpcc, Ladac 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.
Medicare Billing Reassignments
3Medicare enrollment records show Anthony Annicchiarico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
John Day, OR 97845
- Reassigned Medicare billing, Oregon enrollment
- 49 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Brightside Medical PC
- 63 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANTS PASS, OR 97527
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 Anthony Annicchiarico's NPI number?
The NPI number for Anthony Annicchiarico is 1770990772. It was assigned to this individual provider in the NPPES registry on July 22, 2014.
Where is Anthony Annicchiarico located?
Anthony Annicchiarico practices at 1644 Carnahan Dr, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.
What is Anthony Annicchiarico's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Anthony Annicchiarico enrolled in Medicare?
Yes. Anthony Annicchiarico 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 organizations bill Medicare for Anthony Annicchiarico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Annicchiarico reassigns Medicare benefits to 3 organizations: Community Counseling Solutions (John Day, OR), Brightside Medical, P.C. (San Francisco, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Anthony Annicchiarico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Annicchiarico accept?
Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Anthony Annicchiarico 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 Anthony Annicchiarico was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Anthony Enrique Annicchiarico, LPC, LPCC, LADAC · NPI 1770990772
Mental Health provider in Grants Pass, Oregon. Individual provider, active in the CMS NPPES registry since July 22, 2014.
## Identity
- **NPI:** 1770990772 (Entity type: Individual)
- **Enumerated:** July 22, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1644 CARNAHAN DR, Grants Pass, OR 97527-4724
- **Phone:** (541) 476-2373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Counseling Solutions (NPI 1487992665, John Day, OR); Brightside Medical, P.C. (NPI 1801355482, San Francisco, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770990772) · Data from the CMS NPPES public registry.