Individual provider Active NPI

Andrea Lee Vrentas, L.P.C.

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1487867594
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18954 Issued in TX
Practice address
2501 W William Cannon Dr
Building 6 Suite a
Austin, TX 78745-5281
Phone
(512) 344-9181
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18954 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr
Building 6 Suite a
Austin, TX 78745-5281

Mailing address

2303 Ranch Road 620 S
#135-455
Lakeway, TX 78734-6219
Phone (512) 810-9101

Other names 1

  • Andrea Stoery 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
18954TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vonzee Interests LLC Mental Health PastSince Nov 1, 2017 Accepting new patients
Michelle Zee Enterprises LLC Past Accepting new patients

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1487867594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 RANCH ROAD 620 S",
            "address_2": "#135-455",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346219",
            "telephone_number": "512-810-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "BUILDING 6 SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-344-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRENTAS",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "STOERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.