Detrich Omar Anderson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701015683 Issued in VA

Practice address

4200 Lipes CT # a
Richmond, VA 23223-1182

Phone

(804) 869-9101

NPI assigned

Feb 5, 2025

Last updated

Mar 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1114731478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LIPES CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231182",
            "telephone_number": "804-869-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LIPES CT # A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231182",
            "telephone_number": "804-869-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DETRICH",
        "middle_name": "OMAR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Collins Anderson, M.D.
• Christopher George Anderson, MD
• Cortez Anderson
• Darlene Scotia Lynn Anderson, LPC
• Dawn Anderson, RD
• Dustin W Anderson, MD
• Elizabeth Cooper Anderson, AU.D.
• Elizabeth J.S. Anderson, CRNA
• Ellen Katheryne Anderson, OTA-L APPLICANT
• Eric Anderson, DC

• Professional Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.