Carrie A Andrews

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6630 Chimney Rock
Canyon Lake, TX 78133-3898

Phone

(830) 837-3095

NPI assigned

Dec 10, 2015

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Perreault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Project Able, Inc.

  • Voluntary or Charitable Agency
  • Salem, OR
  • NPI 1568859593
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1629443031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 CHIMNEY ROCK",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333898",
            "telephone_number": "830-837-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 CHIMNEY ROCK",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333898",
            "telephone_number": "830-837-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "PERREAULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Rose Aleman, LCSW
• Angels in Charge Healthcare LLC
• Anthony a.M. Pearson Ma Med LPC NCC
• Kira Marie Arrillaga, LCDCI
• Linda J Atkins, LMSW
• B'Nai-El Ministries (Holistic Recovery Alliance)

• Behavior Technician in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.