MS. ANDREA L MASOM LCPC
NPI 1083623391
Counselor - Professional in Moscow, ID

Active since August 05, 2006
106 E 3RD ST, SUITE 2B, MOSCOW, ID 83843(208) 882-1289(208) 882-8406 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Andrea L Masom Lcpc NPPES

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

MS. ANDREA L MASOM LCPC (NPI 1083623391) is an individual professional provider in Moscow, Idaho, licensed in Idaho (LCPC#3017) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083623391
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ANDREA L MASOMCredential: LCPC
Location Address106 E 3RD ST, SUITE 2BMoscow, ID 83843-2970
Mailing Address106 E 3rd St, Suite 2bMoscow, ID 83843-2970 · (208) 882-1289 · Fax (208) 882-8406
Fax(208) 882-8406
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083623391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LCPC#3017
106 E 3RD ST, Moscow, ID 83843

Other Identifiers 1

OtherQ5977ID · Blue Cross

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Doula
106 E 3RD ST, #3B
MOSCOW, ID 83843
Psychologist (Clinical)
106 E 3RD ST, 5B
MOSCOW, ID 83843
Occupational Therapist
106 E 3RD ST
MOSCOW, ID 83843
Massage Therapist
106 E 3RD ST, SUITE 5A
MOSCOW, ID 83843

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 Masom's NPI number?

The NPI number for Andrea Masom is 1083623391. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Andrea Masom located?

Andrea Masom practices at 106 E 3rd St Suite 2B, Moscow, ID 83843. The listed phone number is (208) 882-1289.

What is Andrea Masom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Andrea Masom accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Andrea Masom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Masom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.