Individual provider Active NPI

Andrea Andric, MA, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1962190652
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025039335 Issued in MO
Practice address
5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone
(314) 469-6644
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2885 W Battlefield St
Springfield, MO 65807-3952

900 E Laharpe St
Kirksville, MO 63501-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251014000539 MO Practitioner - Mental Health Counselor 0648767756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2025039335MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindshift Consulting LLC Current Accepting new patients
Behavioral Health Response, Inc Counselor CurrentSince May 28, 2023 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jul 19, 2025 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Jul 19, 2025 Accepting new patients

Locations

900 E Laharpe St
Kirksville, MO 63501

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908

10024 Office Center Ave
Ste 100
Saint Louis, MO 63128
Phone (314) 729-7050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025039335 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other names 1

NPPES NPI Registry
  • Andrea Kostadinovic Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2026.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1962190652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123078",
            "telephone_number": "314-469-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIC",
        "first_name": "ANDREA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025039335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KOSTADINOVIC",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.