Andrew Augustus McGovern

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00494600 Issued in NJ

Practice address

33 Kennedy Rd
Ste 33a
Andover, NJ 07821

Phone

(973) 722-2831

NPI assigned

Aug 13, 2012

Last updated

Dec 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Andrew Augustus McGovern Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McGovern Behavioral Healthcare

  • Professional Counselor
  • Andover, NJ
  • NPI 1215641691
  NPD Authorized official

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1942557665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "TRANQUILITY",
            "state": "NJ",
            "postal_code": "078790129",
            "telephone_number": "973-722-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KENNEDY RD",
            "address_2": "STE 33A",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "07821",
            "telephone_number": "973-722-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "ANDREW",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00494600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "37PC 00494600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "MCGOVERN",
            "middle_name": "AUGUSTUS",
            "prefix": "MR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• George Joseph Kata, DDS
• Kimberly Klimek
• Katherine Kostuk
• Katherine Matthews
• McGovern Behavioral Healthcare
• Susan McNally, BA, MA, LPC
• Daniel James Mitchell, OTR
• Melvyn Alfred Moskowitz, D.D.S.
• Jocelyn Michelle Mull
• Andrea Elizabeth Odian, OTR/L

• Professional Counselor in Andover, NJ
• Providers in Andover, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.