Individual provider Active NPI

Joseph Leo Anderson, LCSW

  • Clinical Social Worker
  • Fairview, UT
National Provider Identifier
1487988325
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7457907-3501 Issued in UT
Practice address
125 N State St
Fairview, UT 84629-5554
Phone
(435) 610-1810
NPI assigned
Sep 24, 2009
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7457907-3501 UT Primary

Addresses

Primary practice location

125 N State St
Fairview, UT 84629-5554

Mailing address

125 North State Street
PO Box 282
Fairview, UT 84629-1340
Phone (435) 610-1810

Other practice location 1

180 N State St
MT Pleasant, UT 84647-1340
Phone (435) 610-1890

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL joseph@ascendcounselingcoaching.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240502000580 UT Practitioner - Clinical Social Worker 7618339680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Counseling Associates LLC Clinical CurrentSince Jun 21, 2023 Accepting new patients
Renew Relationship Counseling, LLC PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1487988325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NORTH STATE STREET",
            "address_2": "PO BOX 282",
            "city": "FAIRVIEW",
            "state": "UT",
            "postal_code": "846291340",
            "telephone_number": "435-610-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N STATE ST",
            "city": "FAIRVIEW",
            "state": "UT",
            "postal_code": "846295554",
            "telephone_number": "435-610-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N State St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "UT",
            "postal_code": "846471340",
            "country_code": "US",
            "telephone_number": "435-610-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOSEPH",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2022-08-16",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7457907-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "joseph@ascendcounselingcoaching.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 N State St",
            "city": "MT Pleasant",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846471340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairview, UT

Sources for this page

Verify at the official NPI Registry.