NPI age
19 years
Enumerated 2006-08-05
● Active
Type 1 · Individual
MS. Andrea L Masom, LCPC
Masom is 1 of 19 counselor providers in Moscow and 1 of 1313 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1313 active counselor providers in Idaho.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
106 E 3rd St, Suite 2b
Moscow, ID 838432970
Mailing address
106 E 3rd St, Suite 2b
Moscow, ID 838432970
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | Q5977 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.