Judith Annette Anderson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH0001415 Issued in FL

Practice address

6237 Presidential CT Ste B
Fort Myers, FL 33919-3508

Phone

(239) 433-1211

Fax

(239) 482-5335

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1407020092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "239-433-1211",
            "fax_number": "239-482-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "239-433-1211",
            "fax_number": "239-482-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUDITH",
        "middle_name": "ANNETTE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Anderson, LMHC
• Faye Anderson
• Jerry S Anderson
• Jesse Willis Anderson, RN
• Joseph Anderson, M.D.
• Katie Rose Anderson, APRN
• Kimberly M Anderson, LCSW
• Kristen Ashley Anderson, DMD
• Lindsay Elizabeth Anderson
• Noelle Anderson, PA

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.