Individual provider Active NPI

Andrea M. Zavitz, LPC, LMHC, NCC

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1659697530
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 3201 Issued in AL
Practice address
1865 Honeysuckle Rd
Suite 2B
Dothan, AL 36305-4286
Phone
(334) 793-8111
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 11581 FL
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X LPC 3201 AL Primary

Addresses

Primary practice location

1865 Honeysuckle Rd
Suite 2B
Dothan, AL 36305-4286

Mailing address

683 Charleston Mills Dr
Midland City, AL 36350-6050
Phone (863) 286-1812

Other identifiers 1

IdentifierTypeStateIssuer
007967100MedicaidFL

Other names 1

  • Andrea M. Godfrey Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 11581FLMDMental Health Counselor
LPC 3201ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewaters Counseling and Coaching Mental Health Current Accepting new patients
Houston County Healthcare Authority Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1659697530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 CHARLESTON MILLS DR",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506050",
            "telephone_number": "863-286-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HONEYSUCKLE RD",
            "address_2": "SUITE 2B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054286",
            "telephone_number": "334-793-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVITZ",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "credential": "LPC, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11581",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC 3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007967100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GODFREY",
            "middle_name": "M.",
            "credential": "LPC, LMHC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.