Andy Hansen Mided, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

022569 Issued in IL

Practice address

12545 Farm Hill Dr Ste 400
Huntley, IL 60142-7913

Phone

(312) 213-6367

NPI assigned

Aug 22, 2011

Reactivated

Dec 23, 2025

Sex

Male

Sole proprietor

No

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.

• Neuro Nexus PLLC

  • Clinical Psychologist
  • Huntley, IL
  • NPI 1942005160
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1386924322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 FARM HILL DR STE 400",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427913",
            "telephone_number": "312-213-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 FARM HILL DR STE 400",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427913",
            "telephone_number": "312-213-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDED",
        "first_name": "ANDY",
        "middle_name": "HANSEN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "deactivation_date": "2014-07-08",
        "reactivation_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "022569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Meehleib, B.S.
• Unnati Harshit Mehta
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• Randall F Meuser, RPH
• Shannon Michelsen
• Valerie D Milborn, CNP
• Edward W Millunchick, M.D.
• Joseph John Minalt, MD
• Andrew Miskell, PT, DPT
• Moffett Physical Therapy, Inc.

• Mental Health Counselor in Huntley, IL
• Providers in Huntley, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.