Susannah Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1108 W South Jordan Pkwy Ste B
South Jordan, UT 84095-5505

Phone

(385) 215-9084

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285215244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 S MILLBROOK CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063888",
            "telephone_number": "801-635-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W SOUTH JORDAN PKWY STE B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955505",
            "telephone_number": "385-215-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Brinton Andersen, DC
• Douglas M Anderson, D.D.S., M.S.
• Juliana Anderson, MS, CCC-SLP
• Kaitlyn Fay Anderson
• Lacey Anderson, BCBA
• Virginia Carolyn Williams Anderson, ACMHC
• Barett D Andreasen, DDS
• Jacob R Andreason
• Andrew Robinson D O LLC
• Curtis K Andrews, DO

• Mental Health Counselor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.