MRS. ANDREA BETH MCCORMACK (LPC) – Mental Health Counselor, NPI 1093925141
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,232 MENTAL HEALTH COUNSELOR in MO
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Provider Addresses for MRS. ANDREA BETH MCCORMACK (LPC)
6165 GOTHWAITE DRIVE
CENTREVILLE, VA 201201817
Phone: (816) 405-7499
Type: Mailing
East 117th Street, Kansas City, Jackson County, Missouri, 64134, United States
KANSAS CITY, MO 641343701
Phone: (816) 554-5503
Type: Location
5675 STONE RD STE 310
CENTREVILLE, VA 201201667
Phone: (816) 405-7499
Type: Location
12904, East 54th Street, Chapel Valley, Kansas City, Jackson County, Missouri, 64133, United States
KANSAS CITY, MO 641333112
Phone: (816) 743-0731
Fax: (816) 554-5550
Type: Mailing
14808 MILLICENT CT
CENTREVILLE, VA 201201867
Phone: (816) 405-7499
Fax: (571) 655-2201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251121004501 | I | Mental Health Counselor | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20120)
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