Andrea Rae Bueno-Acosta, MA, LCMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16294 Issued in NC

Practice address

7629 Purfoy Rd Ste 117
Fuquay Varina, NC 27526-9550

Phone

(919) 285-4802

NPI assigned

Aug 25, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Foundations Family Therapy of North Carolina, PLLC

  • Community/Behavioral Health Agency
  • Fuquay Varina, NC
  • NPI 1366793895
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1376210567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TERRACE LN APT 8205",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077008",
            "telephone_number": "305-505-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 PURFOY RD STE 117",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269550",
            "telephone_number": "919-285-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO-ACOSTA",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "credential": "MA, LCMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brown Orthopaedic Surgery & Sports Medicine Center, P.a.
• Olivia Marie Bruff-Younts, PA
• Megan Bryan
• Bryden McCormick DDS
• Christina Marie Buchanan, M.S., CCC-SLP
• Antoinette Marie Burch, LCSW
• Alena Caroline Butts
• Jasmine Byrd
• Cadence Neuropsychological Services PLLC
• McKenna Cagle

• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.