Andrea Reffett

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008599 Issued in IL

Practice address

2320 Dean St Ste 102
St Charles, IL 60175-1068

Phone

(630) 443-9100

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Pauley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heartland Counseling Center, Inc

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1770871725
  NPD

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1093984494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-443-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-443-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFFETT",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PAULEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rci (WRS), LLC
• Jasmine Adawn Rebuck, LCSW
• Jeremiah Recinos, RBT
• Katherine Lynn Reed, LCSW
• Robert Henry Reeder, M.D.
• Anna Linn Reinke, P.A.
• Lance David Reinke, PSY.D.
• Reliant DME LLC
• Ralph E. Remus, D.D.S.
• Restorative Solutions Inc

• Clinical Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.