Active NPI
John C Anderson, LPC
- Professional Counselor
- Cape Girardeau, MO
National Provider Identifier
1386739712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002659
- Practice address
- 402 S Silver Springs Road
Cape Girardeau, MO 63703 - Phone
- (573) 334-1100
- Fax
- (573) 651-4345
- NPI assigned
- Oct 3, 2006
- Last updated
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002659 | MO | Primary |
Addresses
Primary practice location
402 S Silver Springs Road
Cape Girardeau, MO 63703
Mailing address
402 S Silver Springs Road
Cape Girardeau, MO 63703
Phone (573) 334-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002659 | MO | MD | Professional Counselor |
Interoperability endpoints
- mrivero@direct.lumeris.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1386739712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS ROAD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-334-1100",
"fax_number": "573-651-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS ROAD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-334-1100",
"fax_number": "573-651-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOHN",
"middle_name": "C",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.