Andrew Watson, MA, CDCI, LPC, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

136552 Issued in AK

Practice address

3600 San Jeronimo Dr Ste 316
Anchorage, AK 99508-2870

Phone

(907) 793-3200

Fax

(907) 793-3250

NPI assigned

Aug 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Southcentral Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1659859221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR STE 316",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR STE 316",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3200",
            "fax_number": "907-793-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANDREW",
        "credential": "MA, CDCI, LPC, LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "4326",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "136552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Watroba, RN
• Valerie A. Wats, AA ECD AA HS
• Deven Watsjold, LPC
• Te'Shae Watson-Landry
• Amy Marie Watson, AS
• Carol Watson
• Harvey Watson
• Lowella Lee Watson, BS
• Rachel Watson, CRNA
• Shelly Watson, LPN

• Professional Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.