Andrea Jane Kromminga

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC012780 Issued in GA

Practice address

601 11TH Ave
Albany, GA 31701-1645

Phone

(229) 430-4100

NPI assigned

Nov 29, 2017

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1407360423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CREEKSIDE DR APT B",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635957",
            "telephone_number": "229-894-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 11TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011645",
            "telephone_number": "229-430-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMMINGA",
        "first_name": "ANDREA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Koopal, PA
• William R Koopal, PA
• Joel John Koshy, DO
• Theresa Libo-on Kowalski, M.D.
• Mika Rivers Krewer, LPC
• Robert Krywicki, MD
• Mukesh Kumar, M.D.
• Ashley Higgins Kunkle, PHARMD
• Max Kuo, M.D.
• Kura LLC

• Counselor in Albany, GA
• Providers in Albany, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.