Andrea Villa, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18191 Issued in FL

Practice address

2000 Cheney Hwy
Ste. 103 #260
Titusville, FL 32780-7522

Phone

(321) 289-6244

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Mindful Walk Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Titusville, FL
  • NPI 1760090187
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1700360690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHENEY HWY",
            "address_2": "STE. 103 #260",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807522",
            "telephone_number": "321-289-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHENEY HWY",
            "address_2": "STE. 103 #260",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807522",
            "telephone_number": "321-289-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Vargas, MD
• Gianoula Vargas, LPC, LMHC
• Patience Vaughan
• Shyam Verma, M.D.
• Vicente C Florida MD PA
• Villaverde Inc
• Remigio C. Villegas Jr., M.D.
• Vista Manor Health Care Associates LLC
• Vista Manor Operating LLC
• Katherine Marie Vonniederhausern, PAC

• Mental Health Counselor in Titusville, FL
• Providers in Titusville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.