Concepcion M Andrijeski, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17140 Issued in TX

Practice address

602 Strada Cir
Suite 112
Mansfield, TX 76063-3201

Phone

(682) 203-7096

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Conchita M Andrijeski Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of North Texas Health Science Center at Fort WorthGroup PAC ID 6103717350, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: concepcion.andrijeski.p1@direct.unthsc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of North Texas Health Science Center at Fort Worth

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1376645564
  Medicare reassignment Care Compare group NPD
• CND Therapy PLLC

  • Community/Behavioral Health Agency
  • Mansfield, TX
  • NPI 1063877538
  NPD (past) Authorized official
• University of North Texas Health Science Center at Fort Worth

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1639843790
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1659473056
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1699870998
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1033181078
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1194955948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR",
            "address_2": "112",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "682-203-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR",
            "address_2": "SUITE 112",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "682-203-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIJESKI",
        "first_name": "CONCEPCION",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17140",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17140",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "17140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONCHITA",
            "last_name": "ANDRIJESKI",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marianne Anderson, O.D.
• Marquita Anderson, M.D.
• Ryan Greg Anderson, DMD
• Andrews Dental Care, PLLC
• Jessie L Andrews, D.D.S.
• Andwara Services, LLC
• Anesthesia Providers of Mansfield PLLC
• Angels on Board Medical Transportation, LLC
• Amber Anglin, LPC-ASSOCIATE
• Anna-Maria Toker, M.D., PA

• Professional Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.