Andy Andersen
Individual provider Active NPI Mental Health Counselor · Pendleton, OR
NPI 1508303611 · NPPES record last updated Jan 26, 2017
Key facts
- NPI
- 1508303611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2575 Westgate BLDG 3
Pendleton, OR 97801-9613 - Phone
- (541) 276-6330
- Fax
- (541) 276-6295
- NPI assigned
- Jan 26, 2017
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2575 Westgate BLDG 3
Pendleton, OR 97801-9613
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other providers in Pendleton, OR
- Lila Allstott
- Nicole Amora-Smith
- Patricia Joy Amorosino
- Jillian Jan Amsberry
- Tia Amundson
- Renata Anderson
- Peter James Anderton
- Tarynn Diann Angell
- Susana Maria Argueta
- Karl Shayne Arndt
All providers in Pendleton, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2017. 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.