Amanda N Anderson, MA
Individual provider Active NPI Mental Health Counselor · Cosmopolis, WA
NPI 1437465770 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1437465770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 904 Altenau Street
Cosmopolis, WA 98537 - Phone
- (360) 612-0495
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 21, 2025 through Apr 21, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Therapy Group PLLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
904 Altenau Street
Cosmopolis, WA 98537
Mailing address
PO Box 558
Cosmopolis, WA 98537-0558
Phone (360) 612-0495
Other providers in Cosmopolis, WA
All providers in Cosmopolis, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.