Active NPI
Irene Anderson, M.ED.
- Mental Health Counselor
- Tucson, AZ
National Provider Identifier
1154492528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-0280
- Practice address
- 2230 E Speedway Blvd
Suite 140
Tucson, AZ 85719-4761 - Phone
- (520) 624-3717
- Fax
- (520) 795-6998
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-0280 | AZ | Primary |
Addresses
Primary practice location
2230 E Speedway Blvd
Suite 140
Tucson, AZ 85719-4761
Mailing address
2509 N Campbell Ave
P.O. Box 379
Tucson, AZ 85719-3304
Phone (520) 624-3717
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-0280 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1154492528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 N CAMPBELL AVE",
"address_2": "P.O. BOX 379",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857193304",
"telephone_number": "520-624-3717",
"fax_number": "520-795-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 E SPEEDWAY BLVD",
"address_2": "SUITE 140",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194761",
"telephone_number": "520-624-3717",
"fax_number": "520-795-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "IRENE",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-0280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.