Individual provider Active NPI

Andrea A Charlesworth, LPC

  • Professional Counselor
  • West Chester, PA
National Provider Identifier
1376833962
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004179 Issued in PA
Practice address
770 E Market St Ste 135
West Chester, PA 19382-4896
Phone
(610) 544-2110
NPI assigned
Apr 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004179 PA Primary

Addresses

Primary practice location

770 E Market St Ste 135
West Chester, PA 19382-4896

Mailing address

2405 Turnbury Rd
Gilbertsville, PA 19525-8432
Phone (484) 919-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20260116002431 PA Practitioner - Mental Health Counselor 5698252914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC004179PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 6, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 6, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Marvin Behavioral Health Ma PC Past Accepting new patients

Locations

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

770 E Market St
Ste 135
West Chester, PA 19382
Phone (484) 919-5889

Interoperability endpoints

  • Direct secure messaging: andrea.charlesworth.1@28623.direct.athenahealth.com
  • Direct secure messaging: andreacharlesworth@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1376833962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 TURNBURY RD",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258432",
            "telephone_number": "484-919-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E MARKET ST STE 135",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824896",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLESWORTH",
        "first_name": "ANDREA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.