Individual provider Active NPI

Nancy M Andrews, LCPC, ATR-BC, CCJTS

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1891967451
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006804 Issued in IL
Practice address
1770 Park St
Suite #109
Naperville, IL 60563-4865
Phone
(630) 305-5702
Fax
(630) 305-5708
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 180.006804 IL Primary

Addresses

Primary practice location

1770 Park St
Suite #109
Naperville, IL 60563-4865

Mailing address

1770 Park St
Suite #109
Naperville, IL 60563-4865
Phone (630) 305-5702

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
180.006804ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1891967451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 PARK ST",
            "address_2": "SUITE #109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634865",
            "telephone_number": "630-305-5702",
            "fax_number": "630-305-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 PARK ST",
            "address_2": "SUITE #109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634865",
            "telephone_number": "630-305-5702",
            "fax_number": "630-305-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCPC, ATR-BC, CCJTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.