Andrea Himes, LPC, SAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8754 Issued in WI

Practice address

601 Lake Ave Ste 101C
Racine, WI 53403-1249

Phone

(612) 562-4874

NPI assigned

Mar 10, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1346997277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LAKE AVE STE 101C",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031249",
            "telephone_number": "612-562-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LAKE AVE STE 101C",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031249",
            "telephone_number": "612-562-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "ANDREA",
        "credential": "LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16610",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Higgins, CRNA
• Laura Hilbrink, MASTERS
• Sha'Boris Hiler, LPC, SAC-IT
• Richard A Hill, D.P.M.
• Sharon S. Hill, D.C.
• Marianne Hinder, RD, CD, CDE
• Krystyn Kelly Hirsch, DPT
• Amie C Hoagland, P.T.
• Kelly Hoaglund Zumstein
• Tyra Hoard

• Professional Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.