Individual provider Active NPI

Andrea D. Dawkins, MA CAP ICADC NCACIP

  • Addiction (Substance Use Disorder) Counselor
  • Sanford, FL
National Provider Identifier
1811102858
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4270 Issued in FL
Practice address
2640 Hiawatha Ave
Suite E
Sanford, FL 32773-5342
Phone
(407) 603-3579
Fax
(407) 495-5709
NPI assigned
May 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4270 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 4270 FL Primary
Case Manager/Care Coordinator 171M00000X 4270 FL
Pastoral Counselor 101YP1600X OK
Clinical Ethicist 174V00000X FL
Specialist 174400000X 120578 FL
Counselor 101Y00000X OK

Addresses

Primary practice location

2640 Hiawatha Ave
Suite E
Sanford, FL 32773-5342

Mailing address

2294 Newmark Dr
Deltona, FL 32738-6214
Phone (407) 603-3579

Other names 1

  • Ms. Dawn Dawkins Professional 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 Arts

State licenses

LicenseStateTypeSpecialty
4270FLMDAddiction (Substance Use Disorder) Counselor
120578FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1811102858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 NEWMARK DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327386214",
            "telephone_number": "407-603-3579",
            "fax_number": "407-495-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIAWATHA AVE",
            "address_2": "SUITE E",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735342",
            "telephone_number": "407-603-3579",
            "fax_number": "407-495-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "ANDREA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MA CAP ICADC NCACIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "4270",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4270",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "4270",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "120578",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DAWKINS",
            "prefix": "MS.",
            "credential": "MA CAP ICADC NCACIP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.