Active NPI
Andi Cristodoru, LPC, LCDC
- Professional Counselor
- Frisco, TX
National Provider Identifier
1609692250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 95569
- Practice address
- 4072 Sun King LN
Frisco, TX 75033-7189 - Phone
- (206) 979-5227
- NPI assigned
- Nov 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17674 | TX | |
| Professional Counselor | 101YP2500X | 95569 | TX | Primary |
Addresses
Primary practice location
4072 Sun King LN
Frisco, TX 75033-7189
Mailing address
4072 Sun King LN
Frisco, TX 75033-7189
Phone (469) 777-6581
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17674 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 95569 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1609692250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4072 SUN KING LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750337189",
"telephone_number": "469-777-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4072 SUN KING LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750337189",
"telephone_number": "206-979-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTODORU",
"first_name": "ANDI",
"credential": "LPC, LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-27",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17674",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.