Individual provider Active NPI

Rita Jean Anderson, MA, LPCC, LADC

  • Professional Counselor
  • Park Rapids, MN
National Provider Identifier
1437668357
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1449 Issued in MN
Practice address
207 Park Ave S Ste 2
Park Rapids, MN 56470-1531
Phone
(218) 255-3366
Fax
(218) 732-8135
NPI assigned
Sep 22, 2017
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303806 MN
Mental Health Counselor 101YM0800X 1449 MN
Professional Counselor 101YP2500X 1449 MN Primary

Addresses

Primary practice location

207 Park Ave S Ste 2
Park Rapids, MN 56470-1531

Mailing address

PO Box 957
Park Rapids, MN 56470-0957
Phone (218) 255-3321

Other practice location 1

1009 Hollinger St
Park Rapids, MN 56470-1300
Phone (218) 252-2785

Other practice location 2

266 Henrietta Ave N
Park Rapids, MN 56470-2155
Phone (218) 252-2785

Other practice location 3

207 Park Ave S Ste 2
Park Rapids, MN 56470-1531
Phone (218) 255-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110002672 MN Practitioner - Mental Health Counselor 5890119911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Matters LLCGroup PAC ID 2961826086, 6 clinicians

Practice addresses (Care Compare)

104 Park Ave N
Suite 201
Park Rapids, MN 56470-1856
Phone (218) 616-1276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
303806MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Matters LLC Addiction (Substance Use Disorder) CurrentSince Jul 1, 2020 Accepting new patients
Heartland Center of Natural Healing, PLLC Past Accepting new patients
A Better Connection, Inc. PastSince Mar 8, 2016 Accepting new patients

Locations

104 Park Ave N
Ste 201
Park Rapids, MN 56470
Phone (218) 255-3321

207 Park Ave S
Ste 2
Park Rapids, MN 56470
Phone (218) 255-3366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1437668357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564700957",
            "telephone_number": "218-255-3321",
            "fax_number": "218-237-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PARK AVE S STE 2",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701531",
            "telephone_number": "218-255-3366",
            "fax_number": "218-732-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Hollinger St",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701300",
            "country_code": "US",
            "telephone_number": "218-252-2785",
            "fax_number": "218-732-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Henrietta Ave N",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564702155",
            "country_code": "US",
            "telephone_number": "218-252-2785",
            "fax_number": "218-732-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Park Ave S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701531",
            "country_code": "US",
            "telephone_number": "218-255-3366",
            "fax_number": "218-732-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RITA",
        "middle_name": "JEAN",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303806",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1449",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.