Clint Jeffrey Anderson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Anthem, AZ
NPI 1386574085 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1386574085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 15554 (AZ)
- Practice address
- 3466 W Webster CT
Anthem, AZ 85086-1600 - Phone
- (602) 638-2084
- NPI assigned
- May 22, 2026
- 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 |
|---|---|---|---|
| 15554 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15554 | AZ | Yes |
Addresses
Primary practice location
3466 W Webster CT
Anthem, AZ 85086-1600
Mailing address
3466 W Webster CT
Anthem, AZ 85086-1600
Phone (602) 638-2084
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All providers in Anthem, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. 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.