Andrea Lyn Andreasen, LCSW
Individual provider Active NPI Professional Counselor · Tarpon Springs, FL
NPI 1508142118 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1508142118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- SW10462 (FL)
- Practice address
- 2795 Keystone Rd
Tarpon Springs, FL 34688-7425 - Phone
- (813) 493-8908
- Fax
- (813) 962-4385
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10462 | FL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | FL | ||
| Professional Counselor | 101YP2500X | SW10462 | FL | Yes |
Addresses
Primary practice location
2795 Keystone Rd
Tarpon Springs, FL 34688-7425
Mailing address
5517 Van Dyke Rd
Lutz, FL 33558-4883
Phone (813) 493-8908
Other providers in Tarpon Springs, FL
- Amber Health, Inc.
- America'S Clinic, PLLC
- Seema Amin
- Anclote Podiatry, Inc.
- Patrick Anderson
- Allan Anemaet
- Robert J Angerer III
- Annalice LLC
- Robert M Anzilotti
- Apls Services LLC
All providers in Tarpon Springs, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.