Active NPI
Kristy L Anderson, PCC
- Counselor
- Chillicothe, OH
National Provider Identifier
1558377077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0002583
- Practice address
- 455 Shawnee Lane
Chillicothe, OH 45601 - Phone
- (740) 779-4888
- Fax
- (740) 779-4898
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0002583 | OH | Primary |
Addresses
Primary practice location
455 Shawnee Lane
Chillicothe, OH 45601
Mailing address
455 Shawnee Lane
Chillicothe, OH 45601
Phone (740) 779-4888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0002583 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558377077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SHAWNEE LANE",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-779-4888",
"fax_number": "740-779-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SHAWNEE LANE",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-779-4888",
"fax_number": "740-779-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KRISTY",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0002583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.