Individual provider Active NPI

Andrew Mercer, M.A., LCPC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1609273176
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39063 Issued in TX
Practice address
63 E Lake St Apt 309
Chicago, IL 60601-5974
Phone
(847) 209-9672
NPI assigned
Nov 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76320 TX
Professional Counselor 101YP2500X 180.009135 IL
Clinical Psychologist 103TC0700X 39063 TX Primary
Psychologist 103T00000X 39063 TX

Addresses

Primary practice location

63 E Lake St Apt 309
Chicago, IL 60601-5974

Mailing address

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560

Other practice location 1

2801 Waterwall Dr Apt 528
Houston, TX 77056-6443
Phone (847) 209-9672

Other practice location 2

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250908000192 TX Practitioner - Clinical Psychologist 7810499035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2450 Fondren Rd
Suite 312
Houston, TX 77063-2316

314 Furlong Trce
Versailles, KY 40383-2067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180.009135ILMDProfessional Counselor
76320TXMDProfessional Counselor
39063TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CPF SJN Outpatient, LLC Professional CurrentSince Jun 26, 2025 Accepting new patients

Locations

2450 Fondren Rd
Ste 312
Houston, TX 77063
Phone (713) 914-0277

Organizations & group practices 1

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": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1609273176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E LAKE ST APT 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015974",
            "telephone_number": "847-209-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Waterwall Dr Apt 528",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770566443",
            "country_code": "US",
            "telephone_number": "847-209-9672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Fondren Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770632323",
            "country_code": "US",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCER",
        "first_name": "ANDREW",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009135",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39063",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.