Individual provider Active NPI

Joan S Anderson, MA, LMHC

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1356879597
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60791667 Issued in WA
Practice address
9307 Bay Shore Dr NW
Silverdale, WA 98383-8219
Phone
(360) 276-2467
Fax
(360) 230-4378
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60791667 WA Primary

Addresses

Primary practice location

9307 Bay Shore Dr NW
Silverdale, WA 98383-8219

Mailing address

2850 NW Bucklin Hill Rd # 1090
Silverdale, WA 98383-8513
Phone (360) 276-2467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 22, 2024 through Dec 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60791667WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Living Therapy, LLC Mental Health PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1356879597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NW BUCKLIN HILL RD # 1090",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838513",
            "telephone_number": "360-276-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 BAY SHORE DR NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838219",
            "telephone_number": "360-276-2467",
            "fax_number": "360-230-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOAN",
        "middle_name": "S",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60791667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.