Individual provider Active NPI

Andrea Lucia Nowakowski

  • Marriage & Family Therapist
  • Delray Beach, FL
National Provider Identifier
1871939702
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4147 Palm Forest Dr S
Delray Beach, FL 33445-5711
Phone
(954) 709-0850
NPI assigned
May 19, 2013
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

4147 Palm Forest Dr S
Delray Beach, FL 33445-5711

Mailing address

4147 Palm Forest Dr S
Delray Beach, FL 33445-5711
Phone (954) 709-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241021004487 FL Practitioner - Marriage and Family Therapist 1254863756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

1425 S Congress Ave
Boynton Beach, FL 33426-6204
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince Aug 29, 2024 Accepting new patients
Senior Living Memory Health, Inc. CurrentSince Feb 12, 2025 Accepting new patients

Locations

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1871939702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 PALM FOREST DR S",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455711",
            "telephone_number": "954-709-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 PALM FOREST DR S",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455711",
            "telephone_number": "954-709-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "ANDREA",
        "middle_name": "LUCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.