Individual provider Active NPI

Andria Hollingshead, LMHP, LADC, CPC, NCC

  • Professional Counselor
  • Spokane, WA
National Provider Identifier
1770032526
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2316 Issued in NE
Practice address
8619 N Division St Ste B
Spokane, WA 99208-5944
Phone
(140) 251-5505
Fax
(509) 381-3536
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1181 NE
Mental Health Counselor 101YM0800X 4842 NE
Professional Counselor 101YP2500X 2316 NE Primary

Addresses

Primary practice location

8619 N Division St Ste B
Spokane, WA 99208-5944

Mailing address

511 W Sierra Way
Spokane, WA 99208-6034
Phone (402) 515-5059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20250818003070 WA Practitioner - Mental Health Counselor 2567961469 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8619 N Division St
Suite B
Spokane, WA 99208-5944
Phone (402) 515-5059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4842NEMDPhysical Therapist
1181NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockstar Wellness LLC Addiction (Substance Use Disorder) CurrentSince Feb 11, 2024 Accepting new patients

Locations

8619 N Division St
Ste B
Spokane, WA 99208
Phone (402) 515-5059

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1770032526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W SIERRA WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086034",
            "telephone_number": "402-515-5059",
            "fax_number": "509-381-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 N DIVISION ST STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085944",
            "telephone_number": "140-251-5505",
            "fax_number": "509-381-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "ANDRIA",
        "credential": "LMHP, LADC, CPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4842",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.