Active NPI
Anna-Katrina Bjorch Andersen, SUDP
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1174288997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP61204676
- Practice address
- 2111 N Northgate Way Ste 122
Seattle, WA 98133-9018 - Phone
- (125) 379-3147
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP61204676 | WA | Primary |
Addresses
Primary practice location
2111 N Northgate Way Ste 122
Seattle, WA 98133-9018
Mailing address
8018 Densmore Ave N
Seattle, WA 98103-4437
Phone (425) 979-8011
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP61204676 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1174288997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8018 DENSMORE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981034437",
"telephone_number": "425-979-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 N NORTHGATE WAY STE 122",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339018",
"telephone_number": "125-379-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "ANNA-KATRINA",
"middle_name": "BJORCH",
"credential": "SUDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP61204676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.