Individual provider Active NPI

Andrea McPhatter, LMHC

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1144659319
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22298 Issued in FL
Practice address
251 Northwynd Cir
Lynchburg, VA 24502-3152
Phone
(434) 941-2305
NPI assigned
Nov 7, 2013
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22298 FL Primary
Professional Counselor 101YP2500X A9941 NC

Addresses

Primary practice location

251 Northwynd Cir
Lynchburg, VA 24502-3152

Mailing address

668 Haven PL
Tarpon Springs, FL 34689-4847
Phone (434) 941-2305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, NC, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240129000915 FL Practitioner - Mental Health Counselor 6709239585 Reassigns benefits to 1 organization
I20240822000037 DC Practitioner - Mental Health Counselor 6709239585 Reassigns benefits to 1 organization
I20241126000103 NC Practitioner - Mental Health Counselor 6709239585 Reassigns benefits to 1 organization
I20251231000805 SC Practitioner - Mental Health Counselor 6709239585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22298FLMDMental Health Counselor
9941NCMDPastoral Counselor
A9941NCMDProfessional Counselor
11690SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 29, 2024 Accepting new patients
My Tribe Counseling and Coaching Services LLC Mental Health CurrentSince Dec 23, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5510 River Rd
Ste 207
New Port Richey, FL 34652
Phone (813) 510-0572

5510 River Rd
Ste 210
New Port Richey, FL 34652

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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, 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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1144659319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 HAVEN PL",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894847",
            "telephone_number": "434-941-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NORTHWYND CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023152",
            "telephone_number": "434-941-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHATTER",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "22298",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.