Active NPI
Andrea Ware-Medina, MA, LPC
- Professional Counselor
- Wheat Ridge, CO
National Provider Identifier
1245729623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13381
- Practice address
- 4251 Kipling St Unit 415
Wheat Ridge, CO 80033-6833 - Phone
- (720) 739-1548
- NPI assigned
- May 1, 2018
- Last updated
- May 26, 2020
- 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 | 13381 | CO | Primary |
Addresses
Primary practice location
4251 Kipling St Unit 415
Wheat Ridge, CO 80033-6833
Mailing address
4251 Kipling St Unit 415
Wheat Ridge, CO 80033-6833
Phone (720) 739-1548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 13, 2024 through Feb 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13381 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1245729623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 KIPLING ST UNIT 415",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336833",
"telephone_number": "720-739-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 KIPLING ST UNIT 415",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336833",
"telephone_number": "720-739-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE-MEDINA",
"first_name": "ANDREA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "13381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.