Andrea Gabrielle Irwin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14035 Issued in FL

Practice address

502 N Market St
Champaign, IL 61820-3634

Phone

(217) 373-2428

Fax

(217) 373-2445

NPI assigned

Jun 1, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1154557437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134A 1ST AVE",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344528",
            "telephone_number": "352-871-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203634",
            "telephone_number": "217-373-2428",
            "fax_number": "217-373-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ANDREA",
        "middle_name": "GABRIELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Therapy
• Interwoven Roots PLLC
• Heather Renee Irelan, PMHNP-BC, FNP-C
• Linda Irle, NP
• Krishna M Irrinki, M.D
• Kacy Irwin
• Katherine Lurene Irwin, LSW
• Jessica Chase Islam, OD, MPH, FAAO
• Tiara Ivy
• J a K Enterprises Inc

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.