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ANDREA KARLUNAS LCSW
NPI 1427299429
Social Worker - Clinical in Doylestown, PA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
275 S MAIN ST STE 10, DOYLESTOWN, PA 18901(215) 930-4520 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Andrea Karlunas Lcsw NPPES

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

ANDREA KARLUNAS LCSW (NPI 1427299429) is an individual clinical provider in Doylestown, Pennsylvania, licensed in Pennsylvania (CW016831) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1427299429
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA KARLUNASCredential: LCSW
Location Address275 S MAIN ST STE 10Doylestown, PA 18901-4815
Mailing Address275 S Main St Ste 10Doylestown, PA 18901-4815 · (215) 930-4520
Phone(215) 930-4520
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 20, 2009
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1427299429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW016831
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
275 S MAIN ST STE 10, Doylestown, PA 18901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Andrea Karlunas Lcsw 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 ID2466985908
PECOS Enrollment IDI20241023000948
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 Andrea Karlunas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling LLC
294 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 225 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Grow Healthcare Group PA
1,043 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LAVANYA DEVDAS
Psychologist (Counseling)
275 S MAIN ST STE 10
DOYLESTOWN, PA 18901
Bucks County (267) 652-0467
DR. AUDREY ERVIN PH.D.
Psychologist
275 S MAIN ST STE 10
DOYLESTOWN, PA 18901
Bucks County (267) 935-9577

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 Karlunas's NPI number?

The NPI number for Andrea Karlunas is 1427299429. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Andrea Karlunas located?

Andrea Karlunas practices at 275 S Main St Ste 10, Doylestown, PA 18901. The listed phone number is (215) 930-4520.

What is Andrea Karlunas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Andrea Karlunas enrolled in Medicare?

Yes. Andrea Karlunas 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 Andrea Karlunas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Karlunas reassigns Medicare benefits to 2 organizations: Thrive Counseling LLC (Lynchburg, VA) and Grow Healthcare Group PA (Miami, FL). 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 Andrea Karlunas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Karlunas accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Andrea Karlunas 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 Karlunas was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.