Andrew McBride, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-19481 Issued in AZ

Practice address

29038 N Carnelian Dr
San Tan Valley, AZ 85143-6269

Phone

(602) 755-2384

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

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.

• Arizona Ocd and Anxiety Center, LLC

  • Professional Counselor
  • San Tan Valley, AZ
  • NPI 1528731767
  NPD Authorized official Professional

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2021.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972277002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29038 N CARNELIAN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436269",
            "telephone_number": "602-755-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29038 N CARNELIAN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436269",
            "telephone_number": "602-755-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-19481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John-Michael Mathis
• Max Potential Therapy LLC
• Jay R Maxwell, ND
• Alice Mbuthia
• Becky McArthur
• Jamilyn McBride, MSW BHPP
• Debra Ellsworth McCain, FNP-C
• Mercedes R McCombs
• Andra Sue McConnell, RN
• Melanie Kay McDaniel

• All providers in San Tan Valley, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.