Active NPI
Andrea Beth McCormack, LPC
- Mental Health Counselor
- Centreville, VA
National Provider Identifier
1093925141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701007134
- Practice address
- 5675 Stone Rd Ste 310
Centreville, VA 20120-1667 - Phone
- (816) 405-7499
- NPI assigned
- May 23, 2007
- Last updated
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701007134 | VA | Primary |
| Professional Counselor | 101YP2500X | 0701007134 | VA |
Addresses
Primary practice location
5675 Stone Rd Ste 310
Centreville, VA 20120-1667
Mailing address
6165 Gothwaite Drive
Centreville, VA 20120-1817
Phone (816) 405-7499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001745073001 | Medicaid | VA |
Other names 1
- Andrea Beth Schwensen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10719 Scott Dr
Fairfax, VA 22030-3022
6165 Gothwaite Dr
Centreville, VA 20120-1817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007134 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Healthy Healing PLLC | Professional | Current | Accepting new patients |
Locations
5675 Stone Rd
Ste 310
Centreville, VA 20120
Phone (703) 802-7521
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1093925141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 GOTHWAITE DRIVE",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201817",
"telephone_number": "816-405-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 STONE RD STE 310",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201667",
"telephone_number": "816-405-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "ANDREA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2025-08-06",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701007134",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007134",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001745073001",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "SCHWENSEN",
"middle_name": "BETH",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.