Individual provider Active NPI

Andrew Leevirt Null, M.S. LPC

  • Counselor
  • Flower Mound, TX
National Provider Identifier
1821434960
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
68425 Issued in TX
Practice address
2901 Corporate Circle
Flower Mound, TX 75028
Phone
(940) 391-3202
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 68425 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 68425 TX
Mental Health Counselor 101YM0800X 68425 TX
Pastoral Counselor 101YP1600X 68425 TX

Addresses

Primary practice location

2901 Corporate Circle
Flower Mound, TX 75028

Mailing address

2901 Corporate Circle
Flower Mound, TX 75028
Phone (940) 391-3202

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

State licenses

LicenseStateTypeSpecialty
68425TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1821434960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE CIRCLE",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "940-391-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE CIRCLE",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "940-391-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULL",
        "first_name": "ANDREW",
        "middle_name": "LEEVIRT",
        "name_prefix": "Mr.",
        "credential": "M.S. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "68425",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "68425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68425",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "68425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.