Andrea M Mitchell, LPC in Diamondhead, MS - Medicare Counselor Provider

Andrea M Mitchell, LPC is a medicare enrolled "Counselor - Professional" provider in Diamondhead, Mississippi. Her current practice location is 4404 Leisure Time Dr, Diamondhead, Mississippi. You can reach out to her office (for appointments etc.) via phone at (281) 687-3322.

Andrea M Mitchell is licensed to practice in Texas (license number 66539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497050835.

Contact Information

	Andrea M Mitchell, LPC
	4404 Leisure Time Dr, Diamondhead, MS 39525-3237
	(281) 687-3322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea M Mitchell
Gender	Female
Speciality	Counselor - Professional
Location	4404 Leisure Time Dr, Diamondhead, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497050835
Provider Enumeration Date: 01/16/2011
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 4486195245
Enrollment ID: I20240919002543

Medical Identifiers

Medical identifiers for Andrea M Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497050835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	66539 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea M Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699242891 PECOS PAC ID: 1759615693 Enrollment ID: O20190626001020

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea M Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea M Mitchell, LPC 1430 Hanakealoha Pl, Diamondhead, MS 39525-3004 Ph: (281) 687-3322	Andrea M Mitchell, LPC 4404 Leisure Time Dr, Diamondhead, MS 39525-3237 Ph: (281) 687-3322

Reviews and Comments

Counselor in Diamondhead, MS

Mrs. Kimberly Nell Averett, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 899 Hanalei Cir, Diamondhead, MS 39525 Phone: 504-439-4011
Susan H Niemann, PHD, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4404 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-6088
Kenneth Edward Hultman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Laa La Way, Diamondhead, MS 39525 Phone: 228-327-5375

Andrea M Mitchell, LPC - Medicare Counselor in Diamondhead, MS