Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Andre Riddick Sr., LPCC

Individual provider Counselor · NPI 1003372905

Mr. Andre Riddick Sr., LPCC is a Mental Health Counselor in Lexington, Kentucky. Qualified in 2018, 8 years ago. Practices with Ljks, a 6-clinician group. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2019
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1301 Winchester Rd Ste 147
Lexington, KY 40505-4179
Phone: (859) 991-0710
Fax: (859) 309-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 288964 (KY)

Record details

NPI number1003372905
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ljks — 6 clinicians
Accepts Medicare assignment Not indicated

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