Lynette Anderson
Individual provider Active NPI Mental Health Counselor · Boulder, CO
NPI 1215316997 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1215316997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1333 Iris Ave
Boulder, CO 80304-2226 - Phone
- (303) 443-8500
- NPI assigned
- May 27, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1333 Iris Ave
Boulder, CO 80304-2226
Mailing address
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
Other providers in Boulder, CO
- Kaitlyn Anderson
- Karen Anderson
- Kelley Anderson
- Kirsten Anderson
- Laura Lea Anderson
- Maria T Anderson
- Melinda C Anderson
- Nelson Anderson
- Sarah Anderson
- Toni Danniele Anderson
All providers in Boulder, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. 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.