Andrea Middlesworth, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2228-226 Issued in WI

Practice address

12970 W Bluemound Rd Ste 200
Elm Grove, WI 53122-2607

Phone

(252) 780-1020

NPI assigned

Nov 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1619374188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD STE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "262-780-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD STE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "252-780-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLESWORTH",
        "first_name": "ANDREA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-29",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2228-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah E McMillian, LPC-IT
• Max Meinerz, DDS
• Susan Meinerz, D.D.S.
• Autumn Verstegan Melian, LPC
• Lucia Marie Micheli, MSW CADC III
• Helen L Miller, L.AC.
• Megan Moore
• Miche'L Moore, MS MFT
• Joan Ellen Mortimer, R.N.
• Justin Mosling, MS LPC CSAC

• Mental Health Counselor in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.