Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Enrique Annicchiarico, LPC, LPCC, LADAC

Individual provider Professional Counselor · NPI 1770990772

Anthony Enrique Annicchiarico, LPC, LPCC, LADAC is a Mental Health Counselor in Grants Pass, Oregon. Qualified in 2011, 15 years ago. Practices with Brightside Medical PC, a 280-clinician group and accepts Medicare assignment. Licensed in California, New Mexico and Oregon.

Years since qualifying
15
Licensed in
CA, NM, OR
In the registry since
2014
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1644 Carnahan Dr
Grants Pass, OR 97527-4724
Phone: (541) 476-2373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence C4907 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence 12333 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence CCMH0170971 (NM)

Record details

NPI number1770990772
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LPCC , LADAC
Sole proprietorNo
NPI enumeratedJuly 22, 2014
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grants Pass