Timothy John Anderson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mason City, IA
NPI 1154037117 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1154037117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- T23009 (IA)
- Practice address
- 320 N Eisenhower Ave
Mason City, IA 50401-1521 - Phone
- (641) 424-0783
- NPI assigned
- Jan 24, 2023
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T23009 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T23009 | IA | Yes |
Addresses
Primary practice location
320 N Eisenhower Ave
Mason City, IA 50401-1521
Mailing address
320 N Eisenhower Ave
Mason City, IA 50401-1521
Other providers in Mason City, IA
- Anchor Family Health Center, P.L.C.
- Kristen Andersen
- Marc Andersen
- Andrea Anderson
- Carol Smestad Anderson
- Holly M Arciniega
- Jeff Arends
- Adam Arickx
- Sarah T Arickx
- Jennifer Arndt
All providers in Mason City, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. 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.