Andrea Jo McGowan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

24885 Whitewood Rd
# 105
Murrieta, CA 92563-2014

Phone

(951) 683-6596

NPI assigned

Sep 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilience Counseling & Social Skills Center LLC

  dba Resilience Counseling & Social Skills Center

  • Professional Counselor
  • Midlothian, VA
  • NPI 1245724707
  Medicare reassignment Care Compare group NPD
• Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Murrieta, CA
  • NPI 1689851917
  NPD (past)

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1730581802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24885 WHITEWOOD RD",
            "address_2": "# 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632014",
            "telephone_number": "951-683-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24885 WHITEWOOD RD",
            "address_2": "# 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632014",
            "telephone_number": "951-683-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ANDREA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly G. McElroy, LPCC
• CC McFaddin
• Deidre Ann McGannon, MHA, RDN
• Amy McGee
• Tyler Philip McGee
• Robert Pennington McGraw III, MD
• Brenda McGregor, LMFT, PSYD
• Regina Deloris McGuire
• Kelly Lee McKerahan, D.O.
• Sally McKinley

• Mental Health Counselor in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.