Active NPI
Andria Laurine Connell, CMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1003335340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009715
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009715 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guided Element Mental Health Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Fdny Csu | Past | 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.
-
- Mental Health Counselor
- New York, NY
- NPI 1447953468
-
- Counselor
- New York, NY
- NPI 1841578903
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
- Connect the Dots Occupational Therapy LLC
- Connect the Dots Occupational Therapy PLLC
- Connect the Dots OT PLLC
- Connective Intelligence, Incorp
- Connell Speech and Language, PC
- Brendan Connell, M.D.
- Eileen Connell, M.ED., CCC-SLP
- Erin Connell, LCSW
- Jessica Connell, LCSW
- Louise Catherine Connell, MB BCH BAO
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.