Individual provider Active NPI

Andrea Tippit, LCAS-A, LPC-A

  • Addiction (Substance Use Disorder) Counselor
  • Pinehurst, NC
National Provider Identifier
1548660277
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-20895 Issued in NC
Practice address
205 Memorial Dr
Pinehurst, NC 28374-8712
Phone
(910) 295-6853
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11298 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20895 NC Primary

Addresses

Primary practice location

205 Memorial Dr
Pinehurst, NC 28374-8712

Mailing address

1979 Putters Cir
Sanford, NC 27332-8369
Phone (318) 518-7598

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
LCAS-20895NCMDAddiction (Substance Use Disorder) Counselor
A11298NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1548660277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 PUTTERS CIR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328369",
            "telephone_number": "318-518-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748712",
            "telephone_number": "910-295-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPIT",
        "first_name": "ANDREA",
        "credential": "LCAS-A, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11298",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.