Active NPI
Deborah J Anderson, BA PSYCHOLOGY
- Counselor
- Worland, WY
National Provider Identifier
1023547155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CAP-162
- Practice address
- 401 South 23Rd St
Worland, WY 82401 - Phone
- (307) 347-6165
- Fax
- (307) 347-6166
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CAP-162 | WY | Primary |
Addresses
Primary practice location
401 South 23Rd St
Worland, WY 82401
Mailing address
401 S 23Rd St
Worland, WY 82401-3725
Phone (307) 347-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP-162 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023547155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 23RD ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "824013725",
"telephone_number": "307-347-6165",
"fax_number": "307-347-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH 23RD ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "82401",
"telephone_number": "307-347-6165",
"fax_number": "307-347-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "BA PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "CAP-162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.