Individual provider Active NPI

Andria Laurine Connell, CMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1003335340
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009715 Issued in NY
Practice address
477 Madison Ave FL 6
New York, NY 10022-5827
Phone
(347) 844-6900
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009715 NY Primary

Addresses

Primary practice location

477 Madison Ave FL 6
New York, NY 10022-5827

Mailing address

477 Madison Ave FL 6
New York, NY 10022-5827
Phone (347) 844-6900

Other practice location 1

251 Lafayette St
New York, NY 10012-4067
Phone (212) 570-1693 ext. 305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009715NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Element Mental Health Counseling, PLLC Mental Health Current Accepting new patients
Fdny Csu PastSince Jul 1, 2022 Accepting new patients

Locations

477 Madison Ave
Fl 6
New York, NY 10022
Phone (512) 309-1618

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1003335340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225827",
            "telephone_number": "347-844-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225827",
            "telephone_number": "347-844-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100124067",
            "country_code": "US",
            "telephone_number": "212-570-1693 x305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ANDRIA",
        "middle_name": "LAURINE",
        "name_prefix": "Ms.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.