Organization Active NPI

Eileen G Anderson LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1154883007
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 1, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.