Willie Anderson Jr., AACT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

WA861035 Issued in LA

Practice address

1040 Aime St
Denham Springs, LA 70726-4102

Phone

(225) 747-1563

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2021.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1376115287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 AIME ST",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264102",
            "telephone_number": "225-747-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 AIME ST",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264102",
            "telephone_number": "225-747-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AACT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "WA861035",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "LA",
            "license": "WA861035",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "WA861035",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": "WA861035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoran Allen
• Bonnie Allgood, LPC
• Amy . Ferguson-Lawrence DDS Apdc
• Jayla Anderson
• Michael Joseph Anderson, DDS
• Jessica Noel Andrus, MSW, LCSW-BACS
• Shannon Armstrong Annison, LCSW
• Juniper Sarah Anzivino, LMT
• Mary P Appleby, CCC-SLP
• Manuel N Aquino

• All providers in Denham Springs, LA
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.