Joseph John Andersen, M.S. LMFT
Individual provider Active NPI Marriage & Family Therapist · Meridian, ID
NPI 1174847446 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1174847446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4117 (ID)
- Practice address
- 667 E Grouse CT
Meridian, ID 83646-4414 - Phone
- (208) 283-9888
- NPI assigned
- Mar 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4117 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siena Einerprises, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4117 | ID | Yes |
Addresses
Primary practice location
667 E Grouse CT
Meridian, ID 83646-4414
Mailing address
667 E Grouse CT
Meridian, ID 83646-4414
Phone (208) 283-9888
Other providers in Meridian, ID
- Ancora Hospice & Palliative Services, LLC
- Ancora Hospice & Palliative Services, LLC
- Alpha Tamir Anders
- Andersen Family Care
- Dallin Andersen
- Amanda Lee Anderson
- Amy Rose Anderson
- Autumn Rose Anderson
- Brandi Lynn Anderson
- Chelsea Anderson
All providers in Meridian, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.