Individual provider Active NPI

Andrew Sears, LPCC

  • Professional Counselor
  • Worthington, OH
National Provider Identifier
1548413461
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0701097 Issued in OH
Practice address
5858 N High St Ste C
Worthington, OH 43085-4183
Phone
(614) 842-2121
Fax
(614) 682-8715
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.07010977 OH
Professional Counselor 101YP2500X E0701097 OH Primary

Addresses

Primary practice location

5858 N High St Ste C
Worthington, OH 43085-4183

Mailing address

5858 N High St Ste C
Worthington, OH 43085-4183
Phone (614) 842-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andy@blueboatcounseling.com

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
C.07010977OHMDProfessional Counselor
E0701097OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1548413461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 N HIGH ST STE C",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854183",
            "telephone_number": "614-842-2121",
            "fax_number": "614-682-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 N HIGH ST STE C",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854183",
            "telephone_number": "614-842-2121",
            "fax_number": "614-682-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "ANDREW",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.07010977",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0701097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@blueboatcounseling.com",
            "affiliation": "N",
            "endpointDescription": "my work email",
            "address_1": "5858 N High St Ste C",
            "city": "Worthington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430854183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.