Active NPI
Andrea K Radice, M.S.
- Mental Health Counselor
- Sellersville, PA
National Provider Identifier
1780892588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09619620 | Other | PA | PDE COUNSELOR CERTIFICATION |
Other names 1
- Andi Radice
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.