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MRS. ANDREA BETH MCCORMACK LPC
NPI 1093925141
Counselor - Mental Health in Centreville, VA

Active since May 23, 2007PECOS Enrolled
5675 STONE RD STE 310, CENTREVILLE, VA 20120(816) 405-7499 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Nov 9, 2022, Aug 15, 2022 (3 updates tracked since 2022).

About Mrs. Andrea Beth Mccormack Lpc NPPES

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

MRS. ANDREA BETH MCCORMACK LPC (NPI 1093925141) is an individual mental health provider in Centreville, Virginia, licensed in Virginia (0701007134) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093925141
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANDREA BETH MCCORMACKCredential: LPC
Location Address5675 STONE RD STE 310Centreville, VA 20120-1667
Mailing Address6165 Gothwaite DriveCentreville, VA 20120-1817 · (816) 405-7499
Phone(816) 405-7499
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 9, 2022
✔ NPI 1093925141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701007134
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701007134 (VA)
5675 STONE RD STE 310, Centreville, VA 20120
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Other Names 1

Former Name (1)Andrea Beth Schwensen Lpc

Other Identifiers 1

Medicaid3001745073001VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Beth Mccormack Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244722759
PECOS Enrollment IDI20251121004501
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mccormack's NPI number?

The NPI number for Andrea Mccormack is 1093925141. It was assigned to this individual provider in the NPPES registry on May 23, 2007. The provider is also known as Andrea Beth Schwensen Lpc.

Where is Andrea Mccormack located?

Andrea Mccormack practices at 5675 Stone Rd Ste 310, Centreville, VA 20120. The listed phone number is (816) 405-7499.

What is Andrea Mccormack's specialty?

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

Is Andrea Mccormack enrolled in Medicare?

Yes. Andrea Mccormack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Mccormack was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.