Individual provider Active NPI

Corey Andolfi, MA, LMFT, NBCCH

  • Marriage & Family Therapist
  • Carolina Beach, NC
National Provider Identifier
1609184431
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone
(910) 294-0970
Fax
(910) 458-4824
NPI assigned
Sep 14, 2010
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906

Mailing address

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone (910) 294-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002206 NC Practitioner - Marriage and Family Therapist 9133646136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1328 Lake Park Blvd N
Suite 109
Carolina Beach, NC 28428-3906
Phone (910) 294-0970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1562NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Corey Andolfi, Ma, LMFT, Nbcch, PLLC Marriage & Family Therapist CurrentSince Apr 29, 2025 Accepting new patients
Carolina Beach Counseling, LLC Past Accepting new patients

Locations

1328 Lake Park Blvd N
Ste 109
Carolina Beach, NC 28428
Phone (910) 294-0970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1609184431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N STE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283906",
            "telephone_number": "910-294-0970",
            "fax_number": "910-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N STE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283906",
            "telephone_number": "910-294-0970",
            "fax_number": "910-458-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOLFI",
        "first_name": "COREY",
        "credential": "MA, LMFT, NBCCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina Beach, NC

Sources for this page

Verify at the official NPI Registry.