Andon Ticco

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008540 Issued in NY

Practice address

1530 Military Rd
Kenmore, NY 14217-1263

Phone

(716) 389-1008

NPI assigned

Oct 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andon Ticco Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1497207971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171263",
            "telephone_number": "716-389-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171263",
            "telephone_number": "716-389-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICCO",
        "first_name": "ANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDON",
            "last_name": "TICCO",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darcie Leigh Thomas
• Elizabeth Ariel Thomas, RN
• Briana Thompson
• Jordan Thompson, DPT
• Mia Thornton
• Charles Frederick Tiexeira, LDO
• Baylin Tighe, PA-C
• Timothy R Rasmusson MD, PC
• Lindy Deanne Titus, SLP
• Jonathon Tomaka

• Mental Health Counselor in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.