Individual provider Active NPI

Andrea Anderson

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1144612979
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103871 Issued in CA
Practice address
9343 Tech Center Dr Ste 175
Sacramento, CA 95826-2592
Phone
(916) 940-7938
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 103871 CA Primary

Addresses

Primary practice location

9343 Tech Center Dr Ste 175
Sacramento, CA 95826-2592

Mailing address

9343 Tech Center Dr Ste 175
Sacramento, CA 95826-2592
Phone (916) 940-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002299 CA Practitioner - Marriage and Family Therapist 8325486236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103871CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Services, Inc. Current Accepting new patients
Bay Area Community Services, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Feb 26, 2024 Accepting new patients

Locations

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

9343 Tech Center Dr
Ste 175
Sacramento, CA 95826
Phone (916) 379-7964

4600 47th Ave
Ste 111
Sacramento, CA 95824
Phone (916) 318-0141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1144612979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 175",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "916-940-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 175",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "916-940-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.