Susan Marie Anderson, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

SWP-LCPC-477 Issued in MT

Practice address

3021 3Rd Ave N
Billings, MT 59101-1940

Phone

(406) 294-5090

Fax

(406) 294-5091

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

• Mrs. Susan Job Anderson Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2015.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1124418207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 3RD AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011940",
            "telephone_number": "406-294-5090",
            "fax_number": "406-294-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 3RD AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011940",
            "telephone_number": "406-294-5090",
            "fax_number": "406-294-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "SWP-LCPC-477",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ANDERSON",
            "middle_name": "JOB",
            "prefix": "MRS.",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jill Catherine Anderson
• Joetta Marie Anderson, M.S. SLP
• Julianna Anderson
• Kylie Rosaline Anderson
• Rachel Anderson
• Sydney Anderson
• Tammi Lynn Anderson, LCPC, LAC
• Ty Anderson, MD
• William Anderson, MD
• Bijan Andrade, DPM

• All providers in Billings, MT
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.