Mended Matters Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MENDED MATTERS COUNSELING

Practice address

1760 Lakes Pkwy Unit 4204
Lawrenceville, GA 30043-6072

Phone

(716) 292-5661

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Nicole Younger, LPCNPI 1669014585

Title

Therapist/Owner

Phone

(404) 857-4531

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Younger

  • Mental Health Counselor
  • Sunnyvale, CA
  • NPI 1669014585
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1669068458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 209-317",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 LAKES PKWY UNIT 4204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436072",
            "telephone_number": "716-292-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED MATTERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "404-857-4531",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreammc@livemended.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4850 Sugarloaf Pkwy Ste 209-317",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300442859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreammc@livemended.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4850 Sugarloaf Pkwy Ste 209-317",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300442859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faith A S Melton, MS
• Sandra Melton
• Sara Melton
• Suraj Jose Menachery, M.D.
• Menax Health Care & Medical Supply
• Andrea Mendez, DC
• Jerry U. Mercedat, PA-C
• Anthony J Mercurio, RN
• Monee Noel Merriweather, PSYD
• Angela Messan

• Professional Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.