Chris S. Andersen, MA, LPC, NCC
Individual provider Active NPI Professional Counselor · Glendale, AZ
NPI 1497070924 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1497070924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC11281 (AZ)
- Practice address
- 20325 N 51St Ave Ste 168
Glendale, AZ 85308 - Phone
- (623) 680-8172
- NPI assigned
- Mar 27, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC11281 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Christian Counseling, LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC11281 | AZ | Yes |
Addresses
Primary practice location
20325 N 51St Ave Ste 168
Glendale, AZ 85308
Mailing address
20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624
Phone (623) 680-8172
Other practice location 1
17505 N 79th Ave
Suite 111A
Glendale, AZ 85308-8725
Phone (623) 680-8172
Other providers in Glendale, AZ
- Amy Liu, D.D.S.,P.C.
- Sateesh Ananthu
- Laura Anaya
- Ancheta Psychological Services PLLC
- Katie Christine Anderkin
- Jacob Rex Andersen
- Rebecca Andersen
- Tiffany Andersen
- Abigail Anderson
- Alicia Nicole Anderson
All providers in Glendale, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.