Andrea Elizabeth Moon Dry, M.S., NCC, LCAS, LCM

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10269 Issued in NC

Practice address

236 Le Phillip CT NE
Concord, NC 28025-1905

Phone

(704) 796-8468

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1861821506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 LE PHILLIP CT NE STE D",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251917",
            "telephone_number": "704-796-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 LE PHILLIP CT NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251905",
            "telephone_number": "704-796-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRY",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH MOON",
        "name_prefix": "Mrs.",
        "credential": "M.S., NCC, LCAS, LCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20803",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10269",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Driver, MD
• Tiana Driver
• DRS Gonsalves and Reimels PLLC
• DRS J Loveland and R Walker III, PLLC
• DRS. Ganglani, Johal, Dunning, and Associates I, PLLC (FRESHDental)
• Madeline Watson Dry, NP
• Erin Louise Dsouza
• Ngoc Du
• Lauren Ducey, OTR/L
• Malika Duffy, MSW, LCSWA

• Mental Health Counselor in Concord, NC
• Providers in Concord, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.