Active NPI
Kendall Anderson
- Counselor
- Memphis, TN
National Provider Identifier
1154052967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3720 Alumni Ave
Memphis, TN 38111-5914 - Phone
- (901) 678-2000
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3720 Alumni Ave
Memphis, TN 38111-5914
Mailing address
159 Loraine Rd
Memphis, TN 38109-8513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | EMPLOYER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1154052967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 LORAINE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381098513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 ALUMNI AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381115914",
"telephone_number": "901-678-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KENDALL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER",
"identifier": "01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.