MEDICARE: ANDREA NICHOLE PRICE MS, LPC, CGDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2196	KS
2	101YP2500X	Professional Counselor	2009018435	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46079026	OTHER	MO	BLUE CROSS BLUE SHIELD PROVIDER NUMBER

General Provider Information

NPI Number	:	1417247396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA NICHOLE PRICE MS, LPC, CGDC

Provider Business Mailing Address
First Line	:	9233 WARD PKWY STE 360
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3360
Country	:	US
Telephone Number	:	816-822-1922
Fax Number	:	816-822-2248

Provider Business Practice Location Address
First Line	:	9233 WARD PKWY STE 360
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3360
Country	:	US
Telephone Number	:	816-822-1922
Fax Number	:	816-822-2248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	01/18/2018

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Directions to “ ANDREA NICHOLE PRICE MS, LPC, CGDC” Practice Location

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