Individual provider Active NPI

Andrea K Radice, M.S.

  • Mental Health Counselor
  • Sellersville, PA
National Provider Identifier
1780892588
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
807 Lawn Ave
Sellersville, PA 18960-1549
Phone
(215) 257-6551
Fax
(215) 453-5181
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Specialist 174400000X PA

Addresses

Primary practice location

807 Lawn Ave
Sellersville, PA 18960-1549

Mailing address

259 Park Ave
Harleysville, PA 19438-1854
Phone (267) 718-1493

Other identifiers 1

IdentifierTypeStateIssuer
09619620OtherPAPDE COUNSELOR CERTIFICATION

Other names 1

  • Andi Radice Other name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1780892588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 PARK AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381854",
            "telephone_number": "267-718-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-453-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICE",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PDE COUNSELOR CERTIFICATION",
            "identifier": "09619620",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDI",
            "last_name": "RADICE",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.