Organization Active NPI

Trisha Anderson, P.C.

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1013502673
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRISHA ANDERSON, P.C.
Practice address
11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone
(402) 651-5621
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Trisha Anderson, LICSW, LIMHP, IADCNPI 1013287259
Title
Mental Health Therapist / Owner
Phone
(402) 651-5621

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11640 Arbor St Ste 101
Omaha, NE 68144-5007

Mailing address

11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone (402) 651-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210319000619 NE Part B Supplier - Clinic/Group Practice 4284041260 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20210325000521 IA Part B Supplier - Clinic/Group Practice 4284041260 Receives reassigned benefits from 1 practitioner
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1013502673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-651-5621",
            "fax_number": "531-999-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-651-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISHA ANDERSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-07-08",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST / OWNER",
        "authorized_official_telephone_number": "402-651-5621",
        "authorized_official_credential": "LICSW, LIMHP, IADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.