Individual provider Active NPI

Suzanna Anderson, MS, ATR, LMH-P

  • Mental Health Counselor
  • Waynesboro, VA
National Provider Identifier
1255101481
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014000 Issued in VA
Practice address
1835 Rosser Ave Ste 2
Waynesboro, VA 22980-3284
Phone
(540) 466-0139
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014000 VA Primary

Addresses

Primary practice location

1835 Rosser Ave Ste 2
Waynesboro, VA 22980-3284

Mailing address

1835 Rosser Ave Ste 2
Waynesboro, VA 22980-3284
Phone (540) 466-0139

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 Science

State licenses

LicenseStateTypeSpecialty
0704014000VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Brains Healing Hearts LLC CurrentSince Jan 14, 2024 Accepting new patients
Nocd Florida Behavioral Health P.a. Mental Health Past Accepting new patients

Locations

2015 Reservoir St
Ste 202
Harrisonburg, VA 22801
Phone (614) 753-5965

1835 Rosser Ave
Ste 2
Waynesboro, VA 22980
Phone (540) 255-1458

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1255101481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 ROSSER AVE STE 2",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803284",
            "telephone_number": "540-466-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ROSSER AVE STE 2",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803284",
            "telephone_number": "540-466-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUZANNA",
        "credential": "MS, ATR, LMH-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.