Active NPI
Eileen G Anderson LLC
- Community/Behavioral Health Agency
- Saint Paul, MN
National Provider Identifier
1154883007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EILEEN G ANDERSON LLC
- Practice address
- 762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489 - Phone
- (651) 659-2900
- NPI assigned
- Apr 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen G Anderson, LICSW
- Title
- Sole Member
- Phone
- (952) 270-9211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Mailing address
7421 W Shoreline Dr
Waconia, MN 55387-9641
Phone (952) 270-9211
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1154883007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 W SHORELINE DR",
"city": "WACONIA",
"state": "MN",
"postal_code": "553879641",
"telephone_number": "952-270-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 TRANSFER RD STE 21",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141489",
"telephone_number": "651-659-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EILEEN G ANDERSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "952-270-9211",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.