Judee Carolyn Anderson, LAT, LPC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

870 Issued in WY

Practice address

3322 Strahan Pkwy
Sheridan, WY 82801-9162

Phone

(307) 751-6482

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

• Volunteers of America Northern Rockies

  • Substance Abuse Rehabilitation Facility
  • Sheridan, WY
  • NPI 1689249682

  WY

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in WY

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2024.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1508070020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-751-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUDEE",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LAT, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "288",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "870",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edmund Alzheimer, DPT
• American Air Assistance LLC
• American Thyroid Institute LLC
• Marian Amundsen, PSYD
• Bithia 888-848-Axum (2986) Anderson, PHARM.D., MPA, PH.D.
• Kelli Anderson
• Patience Louise Anderson
• Andrew F Hall MD
• Bruce L Andrews, MS
• Jo Lynn Andrews, M.A., CCC-SLP

• All providers in Sheridan, WY
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.