Christina Heidi Anderson

Individual provider Active NPI Mental Health Counselor · Portland, OR

NPI 1306509765 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1306509765
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
8041 E Burnside St
Portland, OR 97215-1548
Phone
(503) 252-3304
Fax
(503) 254-6396
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Coda, Inc. Current
since Oct 24, 2021
Accepting new patients
Coda, Inc. Mental Health Current
since Oct 24, 2021
Accepting new patients

Locations

1027 E Burnside St
Portland, OR 97214

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

8041 E Burnside St
Portland, OR 97215-1548

Mailing address

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other providers in Portland, OR

All providers in Portland, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.