Jaimie Jo Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

420 3Rd St S
Wisconsin Rapids, WI 54494-4350

Phone

(715) 712-1370

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edmundson Counseling

  • Community/Behavioral Health Agency
  • Wisconsin Rapids, WI
  • NPI 1578111498

  Mental Health

  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1245920784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 JOYCE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016165",
            "telephone_number": "715-370-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944350",
            "telephone_number": "715-712-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAIMIE",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Home Medical LLC
• Randall John Ambrosius, MSW CADCIII LCSW
• Megan Amundson, DPT
• Bethany Lee Anderson
• Donna J Anderson, PT
• Andrea M Bertotto, D.D.S., S.C.
• Steven C Andrews, MD
• Anesthesia Associates of Wisconsin Rapids, S.C.
• Appleton Medical LLC
• Kristy L Apuakehau, OTR

• All providers in Wisconsin Rapids, WI
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.