Individual provider Active NPI

Andrew Cravey, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1679155881
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19109 Issued in FL
Practice address
206 W Sybelia Ave
Maitland, FL 32751-4739
Phone
(321) 332-8540
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19109 FL Primary

Addresses

Primary practice location

206 W Sybelia Ave
Maitland, FL 32751-4739

Mailing address

646 W Smith St Unit 230
Orlando, FL 32804-5376
Phone (407) 461-2953

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andy@simmonscounseling.org Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH19109FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simmons Counseling Services Mental Health CurrentSince Oct 10, 2021 Accepting new patients

Locations

206 W Sybelia Ave
Maitland, FL 32751
Phone (407) 782-4034

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1679155881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W SMITH ST UNIT 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045376",
            "telephone_number": "407-461-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W SYBELIA AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514739",
            "telephone_number": "321-332-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEY",
        "first_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@simmonscounseling.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "206 W Sybelia Ave",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327514739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.