Ann Anderson Counseling & Consulting LLC

Key facts

NPI: 1013348804
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
License: I-3021 (NM)
Legal business name: ANN ANDERSON COUNSELING & CONSULTING LLC
Practice address: 1210 N Main St
Suite 304
Roswell, NM 88201-5012
Phone: (575) 626-9727
NPI assigned: Dec 5, 2013
Organization subpart: No

Authorized official

Name: Ms. Ann Stege Anderson, LISW, LADAC, LPCC NPI 1447362975
Title: Counselor& Consultant
Phone: (575) 626-9727

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ann S Anderson, LISW Clinical Social Worker · Roswell, NM · NPI 1447362975

Medicare reassignment NPD Authorized official NM · PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140320000948	NM	Part B Supplier - Clinic/Group Practice	3375774102	Receives reassigned benefits from 1 practitioner Practice locations: Roswell, NM

National Provider Directory

Locations

1210 N Main St
Ste 304
Roswell, NM 88201
Phone (505) 622-4519

500 N Main St
Ste 400DF
Roswell, NM 88201
Phone (575) 626-9727

311 W 2nd St
Roswell, NM 88201
Phone (575) 626-9727

411 E College Blvd
Roswell, NM 88201

500 N Main St
Ste 400D
Roswell, NM 88201
Phone (505) 660-1128

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101Y00000X	I-3021	NM
Addiction (Substance Use Disorder) Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YA0400X	3566	NM
Mental Health Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YM0800X	2179	NM
Professional Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YP2500X	2179	NM
Clinical Social Worker Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	1041C0700X	I-3021	NM	Yes

Addresses

Primary practice location

1210 N Main St
Suite 304
Roswell, NM 88201-5012

Mailing address

411 E College Blvd
Roswell, NM 88201-7524
Phone (575) 626-9727

Other providers in Roswell, NM

All providers in Roswell, NM · Clinical Social Worker in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.