Active NPI
Spencer Anderson, MA,LMHC
- Mental Health Counselor
- Carmel, IN
National Provider Identifier
1235392333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001785A
- Practice address
- 301 E Carmel Dr
Carmel, IN 46032-2888 - Phone
- (317) 581-1013
- NPI assigned
- Jul 8, 2008
- Last updated
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001785A | IN | Primary |
Addresses
Primary practice location
301 E Carmel Dr
Carmel, IN 46032-2888
Mailing address
301 E Carmel Dr
Carmel, IN 46032-2888
Phone (317) 581-1013
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001785A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1235392333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E CARMEL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322888",
"telephone_number": "317-581-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E CARMEL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322888",
"telephone_number": "317-581-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SPENCER",
"credential": "MA,LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001785A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.