Theodore Scott Anderson Sr., L.P.C.
Individual provider Active NPI Professional Counselor · Oxford, NC
NPI 1295952299 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295952299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3729 (NC)
- Practice address
- 102-A Orange St. Suite 104
Oxford, NC 27565 - Phone
- (919) 690-0777
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3729 | NC | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3729 | NC | Yes |
Addresses
Primary practice location
102-A Orange St. Suite 104
Oxford, NC 27565
Mailing address
4100 Ed Harris Rd
Oxford, NC 27565-7308
Phone (919) 693-3566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015A3 | Other | NC | BCBS ST. HEALTH PLAN |
Other providers in Oxford, NC
- Alpha Management Services, Inc.
- Alpha Management Services, Inc.
- Alta Speech & Language Services
- Beverly L. Anderson
- John B Anderson
- Andrew S. McNeal DDS PA
- Megan E Andrews
- Angelic Hands Home Health Agency, Inc.
- Apollo Resources, LLC
- April Seibles
All providers in Oxford, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.