Active NPI
Danica Anderson, MA, CCCJS #16713
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1528295714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00027143
- Practice address
- 7638 58TH Avenue NE
Northstar Life Services
Olympia, WA 98516-9307 - Phone
- (360) 455-4701
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00027143 | WA | Primary |
Addresses
Primary practice location
7638 58TH Avenue NE
Northstar Life Services
Olympia, WA 98516-9307
Mailing address
7638 58TH Ave NE
Olympia, WA 98516-9307
Phone (360) 455-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00027143 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1528295714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7638 58TH AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985169307",
"telephone_number": "360-455-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7638 58TH AVENUE NE",
"address_2": "NORTHSTAR LIFE SERVICES",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985169307",
"telephone_number": "360-455-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DANICA",
"name_prefix": "Ms.",
"credential": "MA, CCCJS #16713",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00027143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.