Active NPI
Andrea Lyn Schramm, LPC, CRC
- Mental Health Counselor
- Union, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2013041567
- Practice address
- 1780 Old Highway 50 E
Union, MO 63084-3397 - Phone
- (888) 403-1071
- NPI assigned
- May 27, 2014
- Last updated
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2013041567 | MO | Primary |
Addresses
Primary practice location
1780 Old Highway 50 E
Union, MO 63084-3397
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8183
Other practice location 1
206 Centre On The Lk
Lake Saint Louis, MO 63367-1370
Phone (636) 542-3954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447662309 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
856 Waterbury Falls Dr
Suite 102
O Fallon, MO 63368-2219
Phone (636) 344-0433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Behavioral Health, Inc. | Professional | Current | Accepting new patients |
| Summit Counseling Services, LLC | Mental Health | Past | Accepting new patients |
Locations
1654 Bryan Rd
O Fallon, MO 63368
Phone (636) 344-0433
856 Waterbury Falls Dr
Ste 102
O Fallon, MO 63368
Phone (636) 339-1190
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- O'Fallon, MO
- NPI 1154144020
-
dba Unlimited Potential Counseling and Education Center
- Counselor
- Dardenne Prairie, MO
- NPI 1922454552
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1447662309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-890-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 OLD HIGHWAY 50 E",
"city": "UNION",
"state": "MO",
"postal_code": "630843397",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [
{
"address_1": "206 Centre On The Lk",
"address_purpose": "LOCATION",
"city": "Lake Saint Louis",
"state": "MO",
"postal_code": "633671370",
"country_code": "US",
"telephone_number": "636-542-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRAMM",
"first_name": "ANDREA",
"middle_name": "LYN",
"credential": "LPC, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2013041567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447662309",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.