Anderson Jore Counseling PC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00977 Issued in MN

Legal business name

ANDERSON JORE COUNSELING PC.

Practice address

1749 SE 2ND Ave
Grand Rapids, MN 55744-2576

Phone

(218) 326-5694

Fax

(218) 326-5313

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark William Anderson, LPCC

Title

President

Phone

(218) 326-5694

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1245619626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442576",
            "telephone_number": "218-326-5694",
            "fax_number": "218-326-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442576",
            "telephone_number": "218-326-5694",
            "fax_number": "218-326-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON JORE COUNSELING PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-326-5694",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301946",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302045",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00977",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Albers, LICSW
• Suzanne Lois Aldrich, NP-C
• Alliance Chiropractic & Wellness PA
• Jennifer Alstad, LMFT
• Always in Motion Chiropractic and Wellness, PA (Always in Motion Chiropractic)
• Donald Andrew Anderson, D.C.
• Edwin A. Anderson, MD
• Linda Elaine Anderson, CLINICAL TRAINEE
• Mark W. Anderson, LADC
• Susan L Anderson, RNFA

• Mental Health Counselor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.