Deborah A Anderson, LPC
Individual provider Active NPI Professional Counselor · Park Rapids, MN
NPI 1114606209 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1114606209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CP0190 (NV)
- Practice address
- 30974 County Rd 89
Park Rapids, MN 56270-4728 - Phone
- (701) 840-1967
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| CP0190 | NV | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | CP0190 | NV | Yes |
Addresses
Primary practice location
30974 County Rd 89
Park Rapids, MN 56270-4728
Mailing address
518 Shadybrook Dr
Spring Creek, NV 89815-5532
Phone (701) 840-1967
Other providers in Park Rapids, MN
- James Edward Ahrens
- Delores Ann Alleckson
- Brittany Ann Almquist
- Kia Danielle Alton
- David Eric Andersen
- Elissa Kuznia Anderson
- Rita Jean Anderson
- Sara Anderson
- Shawn D. Anderson
- Anesthesia Care Team, P.a.
All providers in Park Rapids, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. 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.