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

Mrs. Andrea Beth McCormack, LPC

Individual provider Mental Health Counselor · NPI 1093925141

Mrs. Andrea Beth McCormack, LPC is a Mental Health Counselor in Centreville, Virginia. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5675 Stone Rd Ste 310
Centreville, VA 20120-1667
Phone: (816) 405-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701007134 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 0701007134 (VA)

Record details

NPI number1093925141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 6, 2025
Certification dateNovember 9, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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