Andrea Anderson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2002687 Issued in OH

Practice address

26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224

Phone

(330) 221-1155

NPI assigned

Dec 1, 2017

Last updated

May 10, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Winston Consulting & Counseling

  • Multi-Specialty Clinic/Center
  • North Olmsted, OH
  • NPI 1609424126

  Professional

  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1265946040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 412",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 412",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703224",
            "telephone_number": "330-221-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2002687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265946040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allcare Dental & Dentures of Ohio - Bates
• Erica M Allen, PCC
• Michelle M Althen
• Rachel Amable
• Amramp Cleveland
• Kathleen O Anderson, RN
• Alicia S Angelo, MS, RN, CNP
• Kammyo A'Delari Appling
• Nakita Aquino
• Keli Arendec, LMT

• Professional Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.