Active NPI
Ada Andrist, LCPC
- Professional Counselor
- St Charles, IL
National Provider Identifier
1154690873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006841
- Practice address
- 240 S 5TH Ave
St Charles, IL 60174-2905 - Phone
- (630) 303-1987
- NPI assigned
- Dec 27, 2011
- Last updated
- Apr 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180006841 | IL | Primary |
Addresses
Primary practice location
240 S 5TH Ave
St Charles, IL 60174-2905
Mailing address
688 Bryn Mawr Ave
Bartlett, IL 60103-5835
Phone (630) 303-1987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180006841 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1154690873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 BRYN MAWR AVE",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035835",
"telephone_number": "630-303-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S 5TH AVE",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742905",
"telephone_number": "630-303-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRIST",
"first_name": "ADA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
- Barbara Ann Anderson, PT
- Christine M. Anderson, MS, ED, NCC, LCPC
- Colton James Anderson, DC
- Deborah L Anderson, PHARM D., RPH
- Grace Elizabeth Anderson
- Andsar Inc. (Grimm's Medical Supplies)
- Andsar Inc. (Grimm's Medical Supplies)
- Angel Health Care LLC (Absolute Home Wellness)
- Mark Angeles
- Annmarie L. Belmonte, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.