Andruski Family Counseling Inc

Organization Active NPI Marriage & Family Therapist · Hesperia, CA

NPI 1154897114 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1154897114
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
ANDRUSKI FAMILY COUNSELING INC
Practice address
17130 Sequoia St Ste 103
Hesperia, CA 92345-1827
Phone
(760) 403-3845
Fax
(442) 267-5241
NPI assigned
Oct 17, 2018
Organization subpart
No

Authorized official

Name
Kasey Andruski, LMFT
Title
President
Phone
(760) 403-3845

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240202002842 CA Part B Supplier - Clinic/Group Practice 8325481625 Receives reassigned benefits from 1 practitioner
Practice locations: Hesperia, CA

National Provider Directory

Locations

17130 Sequoia St
Ste 103
Hesperia, CA 92345
Phone (760) 403-3845

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

17130 Sequoia St Ste 103
Hesperia, CA 92345-1827

Mailing address

PO Box 291881
Phelan, CA 92329-1881
Phone (760) 403-3845

Other names

  • Andruski Family Counseling Doing business as

Other providers in Hesperia, CA

All providers in Hesperia, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.