MR. ANDREW EDMUND DAVID LPC
NPI 1104415462
Counselor - Professional in Danbury, CT

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
62 JUDITH DR, DANBURY, CT 06811(203) 313-5237 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Andrew Edmund David Lpc NPPES

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

MR. ANDREW EDMUND DAVID LPC (NPI 1104415462) is an individual professional provider in Danbury, Connecticut, licensed in Connecticut (004679) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104415462
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANDREW EDMUND DAVIDCredential: LPC
Location Address62 JUDITH DRDanbury, CT 06811-3447
Mailing Address62 Judith DrDanbury, CT 06811-3447 · (203) 313-5237
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1104415462 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 CT · 004679
62 JUDITH DR, Danbury, CT 06811

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Andrew Edmund David Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395188502
PECOS Enrollment IDI20240205002727
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew David reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1077 BRIDGEPORT AVE STE 101
Shelton, CT 06484
  • Reassigned Medicare billing, Connecticut enrollment
  • 19 clinicians in this Medicare group
Marriage & Family Therapist
55 WALLS DR, STE 206
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
62 JUDITH DR
DANBURY, CT 06811

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 Andrew David's NPI number?

The NPI number for Andrew David is 1104415462. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Andrew David located?

Andrew David practices at 62 Judith Dr, Danbury, CT 06811. The listed phone number is (203) 313-5237.

What is Andrew David's specialty?

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

Is Andrew David enrolled in Medicare?

Yes. Andrew David is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew David's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew David reassigns Medicare benefits to 2 organizations: Wellness Center Of Oxford (Shelton, CT) and Emh Family Services PC (Fairfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew David accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew David 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 Andrew David was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.