Individual provider Active NPI

Andrea Camille West, C.A.P., L.M.H.C.

  • Addiction (Substance Use Disorder) Counselor
  • Sebring, FL
National Provider Identifier
1902083314
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP2899 Issued in FL
Practice address
107 Medical Center Ave
Suite 107
Sebring, FL 33870-5423
Phone
(863) 382-9280
Fax
(863) 382-6299
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9206 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP2899 FL Primary

Addresses

Primary practice location

107 Medical Center Ave
Suite 107
Sebring, FL 33870-5423

Mailing address

1570 Lakeview Dr Ste 2
Sebring, FL 33870-7959
Phone (863) 207-4788

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
CAP2899FLMDAddiction (Substance Use Disorder) Counselor
MH9206FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1902083314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LAKEVIEW DR STE 2",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707959",
            "telephone_number": "863-207-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER AVE",
            "address_2": "SUITE 107",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-382-9280",
            "fax_number": "863-382-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANDREA",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "C.A.P., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9206",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.