Andrea Dee Block, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1220-7-15-22-598 Issued in ND

Practice address

4675 40TH Ave S Ste 115
Fargo, ND 58104-4592

Phone

(701) 478-0906

Fax

(701) 478-0909

NPI assigned

Jul 21, 2022

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inner Light Counseling Services LTDGroup PAC ID 4082057500, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Light Counseling Services, LTD

  dba Inner Light Counseling Services

  • Professional Counselor
  • Fargo, ND
  • NPI 1740861954

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1912632118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 40TH AVE S STE 115",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044592",
            "telephone_number": "701-478-0906",
            "fax_number": "701-478-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 40TH AVE S STE 115",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044592",
            "telephone_number": "701-478-0906",
            "fax_number": "701-478-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "ANDREA",
        "middle_name": "DEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1220-7-15-22A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1220-7-15-22-598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Hope Home Care LLC
• Rhonda K Blickensderfer, NP
• Jan M Blixt, LSW
• Shari Blixt, RN, CDCES
• Tina Bloch
• Rachel Elizabeth Block, RN
• Bryan Allen Bloemendaal, MS, LAC
• Lori K Blomquist, LAPC
• Morgan Mae Blood
• Bloom & Belong LLC

• Mental Health Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.