Cheyenne Anderson

Individual provider Active NPI Mental Health Counselor · Mojave, CA

NPI 1194155739 · NPPES record last updated Nov 18, 2013

Key facts

NPI
1194155739
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
16940 Highway 14
Mojave, CA 93501-1238
Phone
(661) 824-5020
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Clarvida Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

16940 Highway 14
Mojave, CA 93501-1238

Mailing address

16940 Highway 14
Mojave, CA 93501-1238
Phone (661) 824-5020

Other providers in Mojave, CA

All providers in Mojave, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.