Johanna Tyler Anderson, M.ED.
Individual provider Active NPI Case Manager/Care Coordinator · Kentfield, CA
NPI 1184463473 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1184463473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418 - Phone
- (415) 473-6666
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Mailing address
709 Via Casitas
Greenbrae, CA 94904-1814
Phone (510) 460-2498
Other names
- Miss Johanna Moore Tyler
Other providers in Kentfield, CA
- 1125 Sir Francis Drake Boulevard Operating Company, LLC
- Alex Barchuk M.D., Incorporated
- Sarah Alexander
- Ana Josefina Amaya
- Allen L Appell
- William Arigi
- Arman Cornell, M.D., Inc.
- Jennifer Spiegel Aune
- Emily Rose Barbera
All providers in Kentfield, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.