Tina Marie Andrade, LPC, LMAC
Individual provider Active NPI Professional Counselor · Emporia, KS
NPI 1225539141 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1225539141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3161 (KS)
- Practice address
- 1500 Graphic Arts Road
Emporia, KS 66801 - Phone
- (620) 204-6840
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMAC348 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 3161 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Services LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LMAC348 | KS | |
| Professional Counselor | 101YP2500X | 3161 | KS | Yes |
Addresses
Primary practice location
1500 Graphic Arts Road
Emporia, KS 66801
Mailing address
1500 Graphic Arts Road
Emporia, KS 66801
Phone (620) 204-6840
Other practice location 1
330 SW Oakley Ave
Topeka, KS 66606-1995
Phone (785) 233-1730
Other providers in Emporia, KS
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- All About You Agency
- Marged L Amend
- Cy K Anderson
- Wayne Leroy Anliker
- Drucilla Antony
- Heaven Marie Arb
- Archive Health Medical Kansas
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All providers in Emporia, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.