Individual provider Active NPI

Charlotte Andrews, LBS, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1831698414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010119 Issued in PA
Practice address
6703 Germantown Ave # 210-6
Philadelphia, PA 19119-2109
Phone
(267) 586-1172
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X BH003593 PA
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC010119 PA Primary

Addresses

Primary practice location

6703 Germantown Ave # 210-6
Philadelphia, PA 19119-2109

Mailing address

5025 N 15TH St Apt 209
Philadelphia, PA 19141-2202
Phone (267) 586-1172

Other practice location 1

6703 Germantown Ave # 210-6
Philadelphia, PA 19119-2109
Phone (267) 586-1172

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

State licenses

LicenseStateTypeSpecialty
PC010119PAMDProfessional Counselor
BH003593PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Lotus Professional Current Accepting new patients

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831698414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N 15TH ST APT 209",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412202",
            "telephone_number": "267-586-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 GERMANTOWN AVE # 210-6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192109",
            "telephone_number": "267-586-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6703 Germantown Ave # 210-6",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191192109",
            "country_code": "US",
            "telephone_number": "267-586-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "CHARLOTTE",
        "credential": "LBS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003593",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.