Christian Anderson, CPC
Individual provider Active NPI Professional Counselor · Elko, NV
NPI 1053407635 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1053407635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CP0001 (NV)
- Practice address
- 380 Court St
Elko, NV 89801-3158 - Phone
- (915) 779-5600
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP0001 | NV | MD | Professional Counselor |
| 20065 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Psychological Services | Past | Accepting new patients | |
| Amanecer Psychological Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20065 | TX | |
| Professional Counselor | 101YP2500X | CP0001 | NV | Yes |
Addresses
Primary practice location
380 Court St
Elko, NV 89801-3158
Mailing address
349 Lakeport Dr
Spring Creek, NV 89815-6048
Phone (775) 299-9906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743025435 | Other | TX | TRICARE |
| NM600035 | Other | NM | VALUE OPTIONS |
| 100516741 | Medicaid | NV | |
| 84839L | Other | TX | BCBS OF TEXAS |
| 1784936-01 | Medicaid | TX |
Other providers in Elko, NV
- Jody Lynn Allen
- Margaret C Allen
- Mariah Altman
- American Home Companion, Inc.
- Bryan Anderson
- Dena Anderson
- Janell Anderson
- Janine Anderson
- Rebekah Anderson
- Madison Brianne Andreozzi
All providers in Elko, NV · Professional Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.