Active NPI
Chandra Lizette Anderson, LPC, MT-BC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1053694653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17878
- Practice address
- 1923 Lanark Ave
Dallas, TX 75203-4522 - Phone
- (214) 942-3924
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- 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 | 17878 | TX | Primary |
| Music Therapist | 225A00000X | 04022 | TX |
Addresses
Primary practice location
1923 Lanark Ave
Dallas, TX 75203-4522
Mailing address
1923 Lanark Ave
Dallas, TX 75203-4522
Phone (214) 942-3924
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 |
|---|---|---|---|
| 17878 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1053694653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 LANARK AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752034522",
"telephone_number": "214-942-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 LANARK AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752034522",
"telephone_number": "214-942-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHANDRA",
"middle_name": "LIZETTE",
"credential": "LPC, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17878",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "TX",
"license": "04022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.