Andrew John Patch, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2898-125 Issued in WI

Practice address

700 Villa St
Suite a
Racine, WI 53403-1144

Phone

(262) 619-3264

Fax

(262) 619-3263

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477667277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLA ST",
            "address_2": "SUITE A",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031144",
            "telephone_number": "262-619-3264",
            "fax_number": "262-619-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLA ST",
            "address_2": "SUITE A",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031144",
            "telephone_number": "262-619-3264",
            "fax_number": "262-619-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2898-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2898-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Louise Parent, D.C.
• Anthony J Park, MD
• Byung H. Park, M.D.
• Joann Marie Parker, M.S., CCC-SP
• Monica M Passage, LCSW, RN
• Amit Patel, DDS
• Pinakin Patel
• Barbara Jo Paton, RN
• Gina Patovisti, LCSW
• John A. Patterson, M.D.

• Mental Health Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.