David Loren Andros, MS, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3107 Issued in MN

Practice address

1120 South Ave
North Mankato, MN 56003-3507

Phone

(507) 934-4160

Fax

(507) 934-4160

NPI assigned

Nov 15, 2006

Last updated

Feb 24, 2017By the provider in NPPES

Sex

Male

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 MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Freedom Counseling Center MN

  dba Freedom Counseling Center

  • Psychologist
  • Mankato, MN
  • NPI 1467964031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1386717700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WALNUT ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821442",
            "telephone_number": "507-934-4160",
            "fax_number": "507-934-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SOUTH AVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560033507",
            "telephone_number": "507-934-4160",
            "fax_number": "507-934-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROS",
        "first_name": "DAVID",
        "middle_name": "LOREN",
        "name_prefix": "Mr.",
        "credential": "MS, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNCARE PROVIDER NUMBER",
            "identifier": "525225-300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in North Mankato, MN
• Providers in North Mankato, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.