Individual provider Active NPI

Andrea K. Hill, LMFT

  • Marriage & Family Therapist
  • Los Alamos, NM
National Provider Identifier
1831385418
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF-0162731 Issued in NM
Practice address
2200 Diamond Dr
First Baptist Church
Los Alamos, NM 87544-1739
Phone
(505) 412-2555
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF-0162731 NM Primary

Addresses

Primary practice location

2200 Diamond Dr
First Baptist Church
Los Alamos, NM 87544-1739

Mailing address

327 Andanada St
Los Alamos, NM 87544-2405
Phone (505) 412-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240328000572 NM Practitioner - Marriage and Family Therapist 0042461402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Self Counseling, P.a.Group PAC ID 1456502806, 3 clinicians

Practice addresses (Care Compare)

2200 Diamond Dr
Los Alamos, NM 87544-1739
Phone (505) 412-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMF-0162731NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Self Counseling, P.a. Marriage & Family Therapist CurrentSince Jan 27, 2024 Accepting new patients

Locations

3250 Trinity Dr
Ste C
Los Alamos, NM 87544
Phone (505) 412-0010

2200 Diamond Dr
Los Alamos, NM 87544
Phone (303) 888-3098

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1831385418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ANDANADA ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442405",
            "telephone_number": "505-412-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DIAMOND DR",
            "address_2": "FIRST BAPTIST CHURCH",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441739",
            "telephone_number": "505-412-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ANDREA",
        "middle_name": "K.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF-0162731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.