Organization Active NPI

Jeff Andersen PC

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1487492062
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JEFF ANDERSEN PC
Practice address
3500 Lakeside CT Ste 212
Reno, NV 89509-4896
Phone
(775) 453-4105
Fax
(775) 981-0247
NPI assigned
Jul 17, 2024
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Jeffery Andersen, MASTER OF ARTS
Title
Marriage and Family Therapist
Phone
(831) 278-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3500 Lakeside CT Ste 212
Reno, NV 89509-4896

Mailing address

3500 Lakeside CT Ste 212
Reno, NV 89509-4896
Phone (775) 453-4105

Other practice location 1

10098 Jibboom St Ste 103
Truckee, CA 96161-0229
Phone (831) 278-1056

National Provider Directory

National Provider Directory

Locations

10098 Jibboom St
Ste 103
Truckee, CA 96161
Phone (831) 278-1056

3500 Lakeside Ct
Ste 212
Reno, NV 89509
Phone (775) 453-4105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1487492062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LAKESIDE CT STE 212",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094896",
            "telephone_number": "775-453-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LAKESIDE CT STE 212",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094896",
            "telephone_number": "775-453-4105",
            "fax_number": "775-981-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10098 Jibboom St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610229",
            "country_code": "US",
            "telephone_number": "831-278-1056",
            "fax_number": "775-981-0247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFF ANDERSEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "831-278-1056",
        "authorized_official_credential": "MASTER OF ARTS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

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

Verify at the official NPI Registry.