ANDRA MODOCK MA, LLPC, NCE
NPI 1205417896
Counselor - Professional in Westland, MI

Q: What is Andra Modock's NPI number?

The NPI number for Andra Modock is 1205417896. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Andra Modock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andra Modock was last updated on April 15, 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.

Active since April 15, 2021

7415 HARRISON ST, WESTLAND, MI 48185(734) 578-6019 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andra Modock Ma, Llpc, Nce NPPES

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

ANDRA MODOCK MA, LLPC, NCE (NPI 1205417896) is an individual professional provider in Westland, Michigan, licensed in Colorado (LPCC.0018266) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1205417896

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANDRA MODOCKCredential: MA, LLPC, NCE

Location Address7415 HARRISON STWestland, MI 48185-2629

Mailing Address7415 Harrison StWestland, MI 48185-2629 · (734) 578-6019

Phone(734) 578-6019

Sole ProprietorYes

Enumeration DateApril 15, 2021

NPPES CertifiedApril 15, 2021

✔ NPI 1205417896 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 CO · LPCC.0018266

7415 HARRISON ST, Westland, MI 48185

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 Andra Modock's NPI number?

The NPI number for Andra Modock is 1205417896. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Andra Modock located?

Andra Modock practices at 7415 Harrison St, Westland, MI 48185. The listed phone number is (734) 578-6019.

What is Andra Modock's specialty?

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

What insurance does Andra Modock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Andra Modock 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 Andra Modock was last updated on April 15, 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.