Individual provider Active NPI

Andrews Velez, LPC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1437895455
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014314 Issued in GA
Practice address
109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Phone
(478) 449-1475
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC008297 GA
Professional Counselor 101YP2500X LPC014314 GA Primary

Addresses

Primary practice location

109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925

Mailing address

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195

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
APC008297GAMDProfessional Counselor
LPC014314GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kardia Psyche LLC. Current Accepting new patients
Southern Bridge Inc CurrentSince Jan 28, 2024 Accepting new patients

Locations

404 Corder Rd
Ste 300
Warner Robins, GA 31088
Phone (478) 283-8322

109 Osigian Blvd
Ste 400
Warner Robins, GA 31088
Phone (478) 333-6901

Organizations & group practices 2

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1437895455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888925",
            "telephone_number": "478-449-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "ANDREWS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008297",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.