Michael Anderson

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

LPC007246 Issued in GA

Legal business name

MICHAEL ANDERSON

Practice address

4169 Washington St SW
Covington, GA 30014-2783

Phone

(678) 532-0398

NPI assigned

Nov 16, 2013

Organization subpart

No

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

Authorized official

Name

Michael Anderson, MA, MS, LPC, NCC

Title

Therapist

Phone

(678) 532-0398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1518397272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 WASHINGTON ST SW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 WASHINGTON ST SW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142783",
            "telephone_number": "678-532-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-532-0398",
        "authorized_official_credential": "MA, MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "LPC007246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Covington, GA
• Providers in Covington, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.