Active NPI
Kimberly Ann Andrews, LPC
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1457785255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70803
- Practice address
- 5751 Kroger Dr
Suite 269
Fort Worth, TX 76244-5632 - Phone
- (216) 310-8471
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 70803 | TX | Primary |
| Mental Health Counselor | 101YM0800X | C 0600269 | OH |
Addresses
Primary practice location
5751 Kroger Dr
Suite 269
Fort Worth, TX 76244-5632
Mailing address
5751 Kroger Dr
Fort Worth, TX 76244-5632
Phone (216) 310-8471
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
| License | State | Type | Specialty |
|---|---|---|---|
| C 0600269 | OH | MD | Mental Health Counselor |
| 70803 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1457785255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5751 KROGER DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445632",
"telephone_number": "216-310-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5751 KROGER DR",
"address_2": "SUITE 269",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445632",
"telephone_number": "216-310-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "70803",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C 0600269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.