Debra D Andrews, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003856 Issued in IL

Practice address

901 N 1St St
Suite 225
Springfield, IL 62702-3759

Phone

(217) 788-4065

Fax

(217) 788-4147

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Debra D Kueker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mental Health Centers of Central Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, IL
  • NPI 1225008113
  NPD (past)
• Mental Health Centers of Central Illinois

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1750614798

  Professional

  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1295068096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 8TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026324",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST",
            "address_2": "SUITE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023759",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003856",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041226266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "KUEKER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca D Anderson, PHD
• Sarah Anderson, OTA
• Todd W Anderson, MD
• Wallace M Anderson, MD
• Bernetta A Andrewin, LCSW
• Jennifer Elizabeth Andrews, CRNA
• Angies Solutions LLC
• Olajide John Animasaun, PHARM.D
• Fadi Annaba, MD.
• Angela K. Anselm, FNP-BC

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.