Individual provider Active NPI

Andrea J Ford, MS, LPC, LCDC

  • Mental Health Counselor
  • Lancaster, TX
National Provider Identifier
1891034278
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
415 N Elm St
Lancaster, TX 75146-2305
Phone
(214) 296-7965
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

415 N Elm St
Lancaster, TX 75146-2305

Mailing address

415 N Elm St
Lancaster, TX 75146-2305
Phone (214) 296-7965

Other practice location 1

5310 S Buckner Blvd
Dallas, TX 75227-2003
Phone (214) 296-7965

Other practice location 2

136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5033 ext. 517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240829000779 ME Practitioner - Mental Health Counselor 9739628108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Regional Family Health Center CurrentSince Aug 26, 2024 Accepting new patients
St Croix Regional Family Health Center CurrentSince Aug 26, 2024 Accepting new patients

Locations

136 Mill St
Princeton, ME 04668
Phone (207) 796-5033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGABA

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Croix Regional Family Health Center 21 clinicians

Practice addresses (Care Compare)

136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1891034278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N ELM ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462305",
            "telephone_number": "214-296-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N ELM ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462305",
            "telephone_number": "214-296-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 S Buckner Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752272003",
            "country_code": "US",
            "telephone_number": "214-296-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Mill St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "ME",
            "postal_code": "046683344",
            "country_code": "US",
            "telephone_number": "207-796-5033 x517",
            "fax_number": "207-796-5528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "MS, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.