Individual provider Active NPI

Andrea Leigh Adams, L.P.C.

  • Professional Counselor
  • Frisco, TX
National Provider Identifier
1891050555
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17901 Issued in TX
Practice address
6881 Elm St
Frisco, TX 75034-4228
Phone
(469) 667-8034
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17901 TX Primary

Addresses

Primary practice location

6881 Elm St
Frisco, TX 75034-4228

Mailing address

6881 Elm St
Frisco, TX 75034-4228
Phone (469) 667-8034

Other identifiers 1

IdentifierTypeStateIssuer
1001Y00000XOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Andrea Canon Adams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 5, 2024 through Mar 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17901TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1891050555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 ELM ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344228",
            "telephone_number": "469-667-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 ELM ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344228",
            "telephone_number": "469-667-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1001Y00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ADAMS",
            "middle_name": "CANON",
            "prefix": "MS.",
            "credential": "L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.