Individual provider Active NPI

Andrew Anderson, LPC

  • Professional Counselor
  • Carlstadt, NJ
National Provider Identifier
1518625540
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01079600 Issued in NJ
Practice address
600 7TH St
Carlstadt, NJ 07072-1715
Phone
(347) 878-6270
NPI assigned
Dec 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01079600 NJ Primary

Addresses

Primary practice location

600 7TH St
Carlstadt, NJ 07072-1715

Mailing address

600 7TH St
Carlstadt, NJ 07072-1715
Phone (201) 952-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250224000003 NJ Practitioner - Mental Health Counselor 6305366220 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1518625540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 7TH ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721715",
            "telephone_number": "201-952-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 7TH ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721715",
            "telephone_number": "347-878-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01079600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlstadt, NJ

Sources for this page

Verify at the official NPI Registry.