Individual provider Active NPI

Douglas Scott Anderson, LPC

  • Professional Counselor
  • Salunga, PA
National Provider Identifier
1194554717
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC021179 Issued in PA
Practice address
53 W Brandt Blvd
Salunga, PA 17538-1161
Phone
(717) 282-2908
NPI assigned
Jul 31, 2024
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X PC021179 PA Primary

Addresses

Primary practice location

53 W Brandt Blvd
Salunga, PA 17538-1161

Mailing address

53 W Brandt Blvd
Salunga, PA 17538-1161
Phone (717) 282-2908

Other practice location 1

420 E Park St
Elizabethtown, PA 17022-2267
Phone (717) 282-2908

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

LicenseStateTypeSpecialty
APC000471PAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1194554717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W BRANDT BLVD",
            "city": "SALUNGA",
            "state": "PA",
            "postal_code": "175381161",
            "telephone_number": "717-282-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W BRANDT BLVD",
            "city": "SALUNGA",
            "state": "PA",
            "postal_code": "175381161",
            "telephone_number": "717-282-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Park St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "PA",
            "postal_code": "170222267",
            "country_code": "US",
            "telephone_number": "717-282-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC021179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salunga, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.