Kerrie E Anderson, BA,MA, LAC
Individual provider Active NPI Mental Health Counselor · Bloomfield, NJ
NPI 1144744277 · NPPES record last updated Jul 31, 2017
Key facts
- NPI
- 1144744277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 267 Broughton Ave
Bloomfield, NJ 07003-4021 - Phone
- (973) 905-1665
- NPI assigned
- Jul 31, 2017
- 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
- Credentials
- Bachelor of Arts, Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
267 Broughton Ave
Bloomfield, NJ 07003-4021
Mailing address
267 Broughton Ave
Bloomfield, NJ 07003-4021
Other providers in Bloomfield, NJ
- Samantha M Amico
- Parul S. Amin
- Tanvi Amin
- Ananda Psychotherapy LLC
- Steven V Andersen
- Andrea Barbier, D.O., LLC
- Lauren Angioletti
- Lee M Angioletti
- Anthony G & Vincent Devincentis
- Materesita Ayuban Antonsson
All providers in Bloomfield, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2017. 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.