Andrea Medrano, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

301 Broadway
Chelsea, MA 02150-2807

Phone

(617) 889-3300

NPI assigned

Dec 3, 2015

Reactivated

Mar 21, 2023

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 Leger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ajayu Inc

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1083315378
  NPD Authorized official
• Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Roxbury, MA
  • NPI 1205060621
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1124493010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BANKS ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521904",
            "telephone_number": "845-662-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-889-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Eustis St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021192826",
            "country_code": "US",
            "telephone_number": "617-445-1123 x300",
            "fax_number": "617-445-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "deactivation_date": "2023-02-03",
        "reactivation_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LEGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott J McLellan, RN
• Eleana Scannell McMurry, MSW
• Mary McNally
• Darlyne Medina
• Stephanie Medina
• Christy Lucila Mejia Garcia I
• Franklin Antonio Mejia
• Alison Mary Melchionna
• Quincey Ann McGuire Melonakos, DNP
• Renee Menart

• Mental Health Counselor in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.