Andrea Fresh, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2117-C Issued in AR

Practice address

1408 S Schiller St
Little Rock, AR 72202-5817

Phone

(501) 507-0675

Fax

(501) 421-0107

NPI assigned

Oct 23, 2008

Last updated

Nov 30, 2020By 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

Enrolled in AR

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

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Psych Care of Arkansas PAGroup PAC ID 8820474661, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supportive Psych Care of Arkansas PA

  • Psychiatry Physician
  • Siloam Springs, AR
  • NPI 1437887437
  Medicare reassignment Care Compare group NPD
• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD
• Collaborative Counseling Associates, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1922534882
  Authorized official Same address or phone

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1316190259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S SCHILLER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025817",
            "telephone_number": "501-507-0675",
            "fax_number": "501-421-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S SCHILLER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025817",
            "telephone_number": "501-507-0675",
            "fax_number": "501-421-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESH",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "2117-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180635526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie French, BSN, RN
• Kendra Elaine French, MHPP
• Rachel French, MD
• Terri French, LCSW
• Haley Frerichs
• Freshly Renewed Transitional
• Penny Freshour, O.D.
• Mackenzie Fresneda
• Delaney Fretwell
• Faith Taggart Frey, PT

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.