Andrea Lynn Joshevama, M.ED.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC11792 Issued in AZ

Practice address

Hwy 264, MP 388
Hopi Behavioral Health Services
Polacca, AZ 86042

Phone

(928) 737-6300

Fax

(928) 737-6333

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Andrea Lynn Secakuku Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1982155081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 68",
            "address_2": "THE HOPI TRIBE/HOPI GUIDANCE CENTER",
            "city": "SECOND MESA",
            "state": "AZ",
            "postal_code": "86043",
            "telephone_number": "928-737-6300",
            "fax_number": "928-737-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 264, MP 388",
            "address_2": "HOPI BEHAVIORAL HEALTH SERVICES",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6300",
            "fax_number": "928-737-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHEVAMA",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC11792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SECAKUKU",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerhard Heinz Jakubowski, RN , BSN, CFRN
• Derek Phillip James, CMA
• Daniel Jenkins, RN
• Mary Beth Johnson, DDS
• Nicole Jojola, M.A.
• Carletta J Joshevama, RN
• Zainab Khatoon, PHARMD
• Gina Marie Kosek, RN
• Nancy Kramer, RN
• Stanley Kurley Jr., PA-C, ATC

• All providers in Polacca, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.