Maja-Lisa C Anderson, MA, PC
Individual provider Active NPI Professional Counselor · Mansfield, OH
NPI 1295030864 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1295030864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C.0600190 (OH)
- Practice address
- 680 Park Ave W
Mansfield, OH 44906-3706 - Phone
- (419) 528-5993
- Fax
- (567) 560-5486
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
680 Park Ave W
Mansfield, OH 44906-3706
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624002161 | OH | Practitioner - Mental Health Counselor | 5991278723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0600190 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hearts Counseling Center, LLC | Current | Accepting new patients | |
| Healing Hearts Counseling Center, LLC | Current | Accepting new patients |
Locations
680 Park Ave W
Mansfield, OH 44906
Phone (419) 522-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0600190 | OH | |
| Professional Counselor | 101YP2500X | C.0600190 | OH | Yes |
Addresses
Primary practice location
680 Park Ave W
Mansfield, OH 44906-3706
Mailing address
680 Park Ave W
Mansfield, OH 44906-3706
Phone (419) 528-5993
Other providers in Mansfield, OH
- Gavin Raymond Anable
- Artise L. Anderson
- Ashleigh E Anderson
- Bradley Anderson
- John Robert Anderson
- Pauline V Anderson
- Stephen Anderson
- Tajee Anderson
- Velma F Anderson
- Andrew M. Gast, D.D.S., Inc.
All providers in Mansfield, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.