Active NPI
Ericka Anderson, LPC
- Mental Health Counselor
- Glenwood Springs, CO
National Provider Identifier
1083993778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5125
- Practice address
- 812 Grand Ave
Suite 203
Glenwood Springs, CO 81601-3482 - Phone
- (970) 947-0055
- Fax
- (970) 947-0055
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5125 | CO | Primary |
Addresses
Primary practice location
812 Grand Ave
Suite 203
Glenwood Springs, CO 81601-3482
Mailing address
812 Grand Ave
Suite 203
Glenwood Springs, CO 81601-3482
Phone (970) 947-0055
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 |
|---|---|---|---|
| 5125 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1083993778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 GRAND AVE",
"address_2": "SUITE 203",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013482",
"telephone_number": "970-947-0055",
"fax_number": "970-947-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 GRAND AVE",
"address_2": "SUITE 203",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013482",
"telephone_number": "970-947-0055",
"fax_number": "970-947-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERICKA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "5125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.