Amanda J Anderson, LPC
Individual provider Active NPI Professional Counselor · Columbia, MO
NPI 1437304342 · NPPES record last updated May 28, 2013
Key facts
- NPI
- 1437304342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2008018984 (MO)
- Practice address
- 3301 S Providence Rd
BLDG E
Columbia, MO 65203-0000 - Phone
- (573) 882-2511
- Fax
- (573) 884-4515
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2008018984 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008018984 | MO | Yes |
Addresses
Primary practice location
3301 S Providence Rd
BLDG E
Columbia, MO 65203-0000
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Other providers in Columbia, MO
- Amy a Zguta MD LLC
- Jella Angela An
- Anjali Patel Anders
- Alex James Anderson-Kahl
- Alexander Anderson
- Bradley W Anderson
- Daniel William Anderson
- Devon Anderson
- Ethan Scott Anderson
- Heather Nicole Anderson
All providers in Columbia, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2013. 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.