Andrea Maren Whipple, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.010339 Issued in IL

Practice address

1400 N Wood Rd
Murphysboro, IL 62966-6290

Phone

(618) 213-3046

Fax

(618) 213-3046

NPI assigned

Jul 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Survive and Thrive Counseling, LLC

  • Mental Health Counselor
  • Murphysboro, IL
  • NPI 1457861957
  NPD (past) Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1962855833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WOOD RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666290",
            "telephone_number": "618-213-3046",
            "fax_number": "618-213-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WOOD RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666290",
            "telephone_number": "618-213-3046",
            "fax_number": "618-213-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "ANDREA",
        "middle_name": "MAREN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Walmart Inc.
• Brandy Warner, CCC-SLP
• Gina Derosa Warren, M.S., BCBA
• Christine Annette Watt, OTR/L
• Bobbie Lynn Whitacre, D.C.
• Jason Ryan Whitacre, D.C.
• Andrew S White, D.M.D.
• Ann Marie Willgoose, L.C.P.C.
• Clare T Williams, MD

• Mental Health Counselor in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.