Active NPI
Andrea Camille West, C.A.P., L.M.H.C.
- Addiction (Substance Use Disorder) Counselor
- Sebring, FL
National Provider Identifier
1902083314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAP2899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CAP2899 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH9206 | FL | MD | Mental 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.