Active NPI
Jeffrey Allan Anderson, LPC
- Professional Counselor
- Grand Prairie, TX
National Provider Identifier
1457451908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18450
- Practice address
- 2505 N Hwy 360
Grand Prairie, TX 75050-7818 - Phone
- (682) 206-9274
- NPI assigned
- Sep 24, 2006
- 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 | 18450 | TX | Primary |
Addresses
Primary practice location
2505 N Hwy 360
Grand Prairie, TX 75050-7818
Mailing address
7108 Water Meadows Dr
Fort Worth, TX 76123-2981
Phone (682) 472-9200
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 |
|---|---|---|---|
| 18450 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1457451908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 WATER MEADOWS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232981",
"telephone_number": "682-472-9200",
"fax_number": "682-472-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 N HWY 360",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750507818",
"telephone_number": "682-206-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JEFFREY",
"middle_name": "ALLAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.