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

Marc E Bagnasco, LPC

Individual provider Professional Counselor · NPI 1700969011

Marc E Bagnasco, LPC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2001, 25 years ago. Practices with Healing Wounds LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
25
Licensed in
AZ
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2700 N 3rd St Ste 2008
Phoenix, AZ 85004
Phone: (602) 264-4600
Fax: (602) 264-7325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-11119 (AZ)

Record details

NPI number1700969011
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2700 N. 3rd Street, Suite 2008, Phoenix, AZ 85004

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Healing Wounds Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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