Individual provider Active NPI

Andrea C Mathews, LPC, NCC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1760563894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1249 Issued in AL
Practice address
2112 11TH Ave. South
Suite 218
Birmingham, AL 35205-2844
Phone
(205) 328-0780
Fax
(205) 328-0760
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1249 AL Primary
Professional Counselor 101YP2500X 2972 NC

Addresses

Primary practice location

2112 11TH Ave. South
Suite 218
Birmingham, AL 35205-2844

Mailing address

2112 11TH Ave. South
Suite 218
Birmingham, AL 35205-2844
Phone (205) 328-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2972NCMDClinical Psychologist
1249ALMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760563894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 11TH AVE. SOUTH",
            "address_2": "SUITE 218",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052844",
            "telephone_number": "205-328-0780",
            "fax_number": "205-328-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 11TH AVE. SOUTH",
            "address_2": "SUITE 218",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052844",
            "telephone_number": "205-328-0780",
            "fax_number": "205-328-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "ANDREA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1249",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.