Angela Marie Anderson, MASTERS STUDENT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1635 Fairfield Ave
Bridgeport, CT 06605-1984

Phone

(203) 333-3518

Fax

(203) 382-5589

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Recovery Network of Programs, Inc.

  • Community/Behavioral Health Agency
  • Stratford, CT
  • NPI 1063633774
  NPD (past)
• Recovery Network of Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bridgeport, CT
  • NPI 1841411584
  NPD (past)

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": "1245920826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BRIDGEPORT AVE # 102",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844662",
            "telephone_number": "203-243-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051984",
            "telephone_number": "203-333-3518",
            "fax_number": "203-382-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Research Dr",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066157126",
            "country_code": "US",
            "telephone_number": "203-243-2459 x451",
            "fax_number": "203-386-8369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MASTERS STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalini Anand, M.D.
• Nicole Marie Anastasio, DO
• Nidhi Anand Anchan, MD
• Alaina Andersen, LPC
• Mishelle Diane Andersen
• Arthur James Anderson, LCSW, RN
• Michaela Colleen Anderson, PA-C
• Tiffany Lee Andino
• Miriam F Andrade, COTA
• Nicolas Andrea, MD

• Mental Health Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Mental Health Counselor in Connecticut

• 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.