Whitney Marie Anderson, LMHC
Individual provider Active NPI Mental Health Counselor · Waterloo, IA
NPI 1346908993 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1346908993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 108494 (IA)
- Practice address
- 531 Commercial St Ste 202
Waterloo, IA 50701-5497 - Phone
- (515) 290-2426
- Fax
- (515) 462-0633
- NPI assigned
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20240926000688 | IA | Practitioner - Mental Health Counselor | 3779024005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108494 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Therapy and Counseling Services | Mental Health | Current |
Accepting new patients |
Locations
3839 Merle Hay Rd
Ste 227
Des Moines, IA 50310
Phone (515) 669-8111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 108494 | IA | Yes |
Addresses
Primary practice location
531 Commercial St Ste 202
Waterloo, IA 50701-5497
Mailing address
1058 Evergreen Ave
Waterloo, IA 50701-2223
Other practice location 1
3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone (515) 669-8111
Other providers in Waterloo, IA
- Joanna Anderson
- Melinda Marie Anderson
- Paula Kae Anderson
- Sandra Kay Anderson
- Tara Jo Anderson
- Marie Anne Andren
- Andresen Counseling and Consulting LLC
- Eric Andresen
- Joyce M Andresen
- Andrew Jolley PC
All providers in Waterloo, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.