Anthony Enrique Annicchiarico, LPC, LPCC, LADAC
NPI 1770990772ActiveIndividual· Counselor, Mental Health· Grants Pass, OR
Counselor, Mental Health (LPC, LPCC, LADAC) with Brightside Medical PC and 1 other group, practicing in Grants Pass, Oregon. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1770990772 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LPCC, LADAC |
| Sole proprietor | No |
| NPI issued | Jul 22, 2014 |
| Last updated in NPPES | Apr 6, 2026 |
| Certified by provider | Apr 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | C4907 | OR |
| Counselor, Professional | 101YP2500X | 12333 | CA |
| Counselor, Professional | 101YP2500X | CCMH0170971 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CA); Practitioner - Mental Health Counselor (OR) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- Brightside Medical PCBaltimore, MD · 279 clinicians
- Community Counseling SolutionsHeppner, OR · 30 clinicians
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All 597 mental health counselors in Grants Pass · All mental health counselors in Oregon