ANDREA DAVIDSON LMHC
NPI 1053713826
Counselor - Mental Health in Brooklyn, NY

Active since September 23, 2014Opted out of Medicare · through Jan 4, 2028
36 PLAZA ST E STE 1A, BROOKLYN, NY 11238(718) 541-1654 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Davidson Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA DAVIDSON LMHC (NPI 1053713826) is an individual mental health provider in Brooklyn, New York, licensed in New York (006274) and active in the NPI registry since September 2014. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1053713826
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA DAVIDSONCredential: LMHC
Location Address36 PLAZA ST E STE 1ABrooklyn, NY 11238-5039
Mailing Address326 E 26th StBrooklyn, NY 11226-7104 · (718) 541-1654
Sole ProprietorYes
Enumeration DateSeptember 23, 2014
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1053713826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 006274
36 PLAZA ST E STE 1A, Brooklyn, NY 11238

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Andrea Davidson Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Psychologist (Clinical)
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Social Worker (Clinical)
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Psychiatry & Neurology (Psychiatry)
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Acupuncturist
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Dietitian, Registered
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Social Worker (Clinical)
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238
Physical Therapist
36 PLAZA ST E STE 1A
BROOKLYN, NY 11238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Davidson's NPI number?

The NPI number for Andrea Davidson is 1053713826. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Andrea Davidson located?

Andrea Davidson practices at 36 Plaza St E Ste 1A, Brooklyn, NY 11238. The listed phone number is (718) 541-1654.

What is Andrea Davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Davidson enrolled in Medicare?

No. Andrea Davidson has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Davidson was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.