Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA ANDRIC MA, LPC
NPI 1962190652
Counselor - Professional in Saint Louis, MO

Q: What is Andrea Andric's NPI number?

The NPI number for Andrea Andric is 1962190652. It was assigned to this individual provider in the NPPES registry on May 1, 2023. The provider is also known as Andrea Kostadinovic Lpc.

Q: What is Andrea Andric'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 Andrea Andric was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 May 01, 2023PECOS Enrolled

5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112(314) 469-6644 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jul 27, 2026, Mar 18, 2026 and 4 more (7 updates tracked since 2023).

On this page

About Andrea Andric Ma, Lpc NPPES

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

ANDREA ANDRIC MA, LPC (NPI 1962190652) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2025039335) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962190652

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANDREA ANDRICCredential: MA, LPC

Location Address5501 DELMAR BLVD STE B300Saint Louis, MO 63112-3078

Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5000 · Fax (417) 761-5631

Phone(314) 469-6644

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 1, 2023

Last NPPES UpdateAugust 18, 20267 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1962190652 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 MO · 2025039335

5501 DELMAR BLVD STE B300, Saint Louis, MO 63112

Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Kostadinovic Lpc

Secondary Practice Location 1

Location 15501 Delmar Blvd Ste B300Saint Louis, MO 63112-3078 · Phone (314) 469-6644

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Andric Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648767756

PECOS Enrollment IDI20251014000539

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.

Other Providers at the Same Location NPPES 20

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

BOBBY JOE GOODMAN M.A.

Case Manager/Care Coordinator