Charity Michal Anderson, LPC
Individual provider Active NPI Professional Counselor · Longview, TX
NPI 1043840291 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1043840291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 82949 (TX)
- Practice address
- 200 Rawley St
Longview, TX 75601-5639 - Phone
- (903) 707-1751
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
107 Woodbine PL
Longview, TX 75601-2912
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82949 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 82949 | TX | |
| Mental Health Counselor | 101YM0800X | 82949 | TX | |
| Professional Counselor | 101YP2500X | 82949 | TX | Yes |
Addresses
Primary practice location
200 Rawley St
Longview, TX 75601-5639
Mailing address
200 Rawley St
Longview, TX 75601-5639
Phone (903) 707-1751
Other names
- Mrs. Charity Michal Anderson
Other providers in Longview, TX
- Anchored Hope and Healing, PLLC
- Ancor Health Center, PA
- Ancor Health Center, PA
- Joseph Anders
- Alesia Lesha Anderson
- Jessica Anderson
- Rebecca Anderson
- Ann Marie Andrews
- Jeremiah Shea Andrews
- Mary Uffelman Andrews
All providers in Longview, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.