Individual provider Active NPI

Melvin Leroy Andrews, LPCMH

  • Mental Health Counselor
  • Milford, DE
National Provider Identifier
1043367113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000121 Issued in DE
Practice address
1131 Airport Rd
Milford, DE 19963-6418
Phone
(302) 422-8026
Fax
(302) 422-0701
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC0000121 DE Primary

Addresses

Primary practice location

1131 Airport Rd
Milford, DE 19963-6418

Mailing address

1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026

Other identifiers 1

IdentifierTypeStateIssuer
1000022277MedicaidDE

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
PC0000121DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Place II, Inc. PastSince Jun 7, 1999 Accepting new patients

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043367113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MELVIN",
        "middle_name": "LEROY",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000022277",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.