Andrea McGovern, MS MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 38490 Issued in CA

Practice address

5859 Deerhead Rd
Malibu, CA 90265-3716

Phone

(310) 493-4572

NPI assigned

Jul 30, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1174789002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28240 AGOURA RD",
            "address_2": "SUITE 304",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913012485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 DEERHEAD RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653716",
            "telephone_number": "310-493-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "ANDREA",
        "credential": "MS MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 38490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann MC Cabe, B.S.
• Courtney McCaul, PSY. D.
• Lisa McCullough, LMFT
• Patricia McDermott, M.D.
• Kiley Ann McGill
• Sydney Dodge McIlvain, LCGC
• Kellye D McKinna, PHD
• Patricia Lee McNamee, PHARM.D.
• Mermaids Cove Malibu Inc.
• Leila Mesghali, LMFT

• Mental Health Counselor in Malibu, CA
• Providers in Malibu, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.