Active NPI
Kristine Andersen, LMSW, PSY-DC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1235837691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-20723
- Practice address
- 7580 E Gray Rd Ste 201
Scottsdale, AZ 85260-3408 - Phone
- (480) 674-7404
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- 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 | LMSW-20723 | AZ | Primary |
Addresses
Primary practice location
7580 E Gray Rd Ste 201
Scottsdale, AZ 85260-3408
Mailing address
7580 E Gray Rd Ste 201
Scottsdale, AZ 85260-3408
Phone (480) 674-7404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristineandersen@pathfindersaz.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-20723 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1235837691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 E GRAY RD STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603408",
"telephone_number": "480-674-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 E GRAY RD STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603408",
"telephone_number": "480-674-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "LMSW, PSY-DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LMSW-20723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristineandersen@pathfindersaz.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "7580 E Gray Rd Ste 201",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852603408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.