Organization Active NPI

Anderson Mental Health Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Olean, NY
National Provider Identifier
1154024917
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANDERSON MENTAL HEALTH COUNSELING, PLLC
Practice address
237 Delaware Ave Ste 2
Olean, NY 14760-2601
Phone
(716) 307-3055
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Christopher Carl Anderson, M.S.ED.NPI 1871266064
Title
Licensed Mental Health Counselor
Phone
(716) 307-3055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

237 Delaware Ave Ste 2
Olean, NY 14760-2601

Mailing address

787 Lippert Hollow Rd
Allegany, NY 14706-9715
Phone (716) 307-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926001049 NY Part B Supplier - Clinic/Group Practice 8325589666 Receives reassigned benefits from 1 practitioner
Practice locations: Olean, NY

National Provider Directory

National Provider Directory

Locations

237 Delaware Ave
Ste 2
Olean, NY 14760
Phone (716) 307-3055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1154024917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 LIPPERT HOLLOW RD",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147069715",
            "telephone_number": "716-307-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DELAWARE AVE STE 2",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602601",
            "telephone_number": "716-307-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "716-307-3055",
        "authorized_official_credential": "M.S.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.