Andrea Anderson
Individual provider Active NPI Mental Health Counselor · Longmont, CO
NPI 1114585437 · NPPES record last updated Jun 1, 2019
Key facts
- NPI
- 1114585437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- NLC.0108060 (CO)
- Practice address
- 5629 Prospect Rd
Longmont, CO 80503-9047 - Phone
- (406) 600-0879
- NPI assigned
- Jun 1, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| NLC.0108060 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0108060 | CO | Yes |
Addresses
Primary practice location
5629 Prospect Rd
Longmont, CO 80503-9047
Mailing address
5520 Racquet LN
Boulder, CO 80303-2941
Phone (406) 600-0879
Other providers in Longmont, CO
- America'S Best Contacts & Eyeglasses
- American Current Care, P.a.
- Marc Amey
- Elizabeth Ammerman
- Aaron Anderson
- Annika Alyse Anderson
- Hannah Anderson
- Kristi A. Anderson
- Kyrie Nicole Anderson
- Leeanna R Anderson
All providers in Longmont, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 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.