Active NPI
Christian Anderson, CPC
- Professional Counselor
- Elko, NV
National Provider Identifier
1053407635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP0001
- Practice address
- 380 Court St
Elko, NV 89801-3158 - Phone
- (915) 779-5600
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20065 | TX | |
| Professional Counselor | 101YP2500X | CP0001 | NV | Primary |
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP0001 | NV | MD | Professional Counselor |
| 20065 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Psychological Services | Past | Accepting new patients | |
| Amanecer Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1053407635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 LAKEPORT DR",
"city": "SPRING CREEK",
"state": "NV",
"postal_code": "898156048",
"telephone_number": "775-299-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 COURT ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013158",
"telephone_number": "915-779-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "CPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20065",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP0001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.