Individual provider Active NPI

Andrea Hennum Fell, MSW

  • Mental Health Counselor
  • Torrance, CA
National Provider Identifier
1083848519
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4421 W 234TH St
Torrance, CA 90505-4425
Phone
(310) 378-6111
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4421 W 234TH St
Torrance, CA 90505-4425

Mailing address

4421 W 234TH St
Torrance, CA 90505-4425
Phone (310) 378-6111

Other names 1

  • Andrea Hennum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416002186 CA Practitioner - Clinical Social Worker 5395174585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

680 Langsdorf Dr
Suite 209
Fullerton, CA 92831-3702
Phone (714) 578-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joe F. Chiu, MD, a Professional Corp CurrentSince Dec 26, 2021 Accepting new patients
Counseling Associates of the Southland Inc CurrentSince Aug 19, 2019 Accepting new patients

Locations

680 Langsdorf Dr
Ste 219
Fullerton, CA 92831
Phone (714) 578-0990

680 Langsdorf Dr
Ste 209
Fullerton, CA 92831
Phone (714) 299-7939

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1083848519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W 234TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054425",
            "telephone_number": "310-378-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W 234TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054425",
            "telephone_number": "310-378-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL",
        "first_name": "ANDREA",
        "middle_name": "HENNUM",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HENNUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.