Individual provider Active NPI

Andrea Verier, M.S., L.M.H.C.

  • Psychologist
  • Melbourne, FL
National Provider Identifier
1528119609
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MH#0004082 Issued in FL
Practice address
107 N Palm Ave
Melbourne, FL 32903-3131
Phone
(321) 327-2983
Fax
(321) 327-7914
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MH#0004082 FL Primary

Addresses

Primary practice location

107 N Palm Ave
Melbourne, FL 32903-3131

Mailing address

107 N Palm Ave
Melbourne, FL 32903-3131
Phone (321) 327-2983

Other identifiers 1

IdentifierTypeStateIssuer
0004082OtherFLMH LICENSE #

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH#0004082FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Corinne Zimmer, PSYD LLC Past Accepting new patients
Kristine Van Workum, Rd, LDN, Inc. 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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1528119609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329033131",
            "telephone_number": "321-327-2983",
            "fax_number": "321-327-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329033131",
            "telephone_number": "321-327-2983",
            "fax_number": "321-327-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERIER",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "MH#0004082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH LICENSE #",
            "identifier": "0004082",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.