Ann Anderson Counseling & Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-3021 Issued in 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

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ann Stege Anderson, LISW, LADAC, LPCCNPI 1447362975

Title

Counselor& Consultant

Phone

(575) 626-9727

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann S Anderson, LISW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1447362975

  Professional

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1013348804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017524",
            "telephone_number": "575-626-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N MAIN ST",
            "address_2": "SUITE 304",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015012",
            "telephone_number": "575-626-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ANDERSON COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "STEGE",
        "authorized_official_title_or_position": "COUNSELOR& CONSULTANT",
        "authorized_official_telephone_number": "575-626-9727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW, LADAC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NM",
            "license": "I-3021",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2179",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "2179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.