Individual provider Active NPI

Andrea Kay Walski, LPCC

  • Professional Counselor
  • Winona, MN
National Provider Identifier
1417127341
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00860 Issued in MN
Practice address
111 Market St
Suite 4a
Winona, MN 55987-5532
Phone
(507) 452-5033
Fax
(507) 452-5183
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000678 MN
Professional Counselor 101YP2500X CC00860 MN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

111 Market St
Suite 4a
Winona, MN 55987-5532

Mailing address

111 Market St.
Suite 4a
Winona, MN 55987-5532
Phone (507) 452-5033

Other names 1

  • Andrea Kay Essar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000678MNMDProfessional Counselor
CC00860MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1417127341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST.",
            "address_2": "SUITE 4A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 4A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSKI",
        "first_name": "ANDREA",
        "middle_name": "KAY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "000678",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00860",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ESSAR",
            "middle_name": "KAY",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.