Susan Anderson, MED CAGS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1289 Issued in MA

Practice address

74 Bypass 28
Derry, NH 03038

Phone

(603) 571-0577

Fax

(603) 965-3821

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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.

• Susan Anderson LMFT Lcmhc LLC

  • Marriage & Family Therapist
  • Derry, NH
  • NPI 1184569964
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2022.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1295937217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MANCHESTER RD STE 11A",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383065",
            "telephone_number": "603-571-0577",
            "fax_number": "603-965-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BYPASS 28",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-571-0577",
            "fax_number": "603-965-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSAN",
        "credential": "MED CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "930",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "107",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rose Ambrosecchio, LICSW
• Wendee A Amero, NP-BC
• Allison Anastasoff
• Elizabeth Williams Anderson, R.D.
• Matthew Anderson, MASTERS IN COUNSELIN
• John Andrea, DO
• Adam Paul Androlia, DO
• Anesthesia Associates of New England PC
• Anesthetics of New Hampshire, PC
• Shannon Katherine Anthony, CCCSLP

• All providers in Derry, NH
• Marriage & Family Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.