Susan Michelle Anderson, BA, CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC6887 Issued in CO

Practice address

3400 W 16TH St Ste S
Greeley, CO 80634-6872

Phone

(970) 378-8805

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1578072914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 16TH STREET BLDG 3 STE S",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE S",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346872",
            "telephone_number": "970-378-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "credential": "BA, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC6887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catie Anderson
• Judith Raye Anderson, M.D.
• Krista D Anderson, FNP
• Leah Marie Anderson
• Renee Anderson, CRNA
• William Anderson, PHARMD
• William Joel Anderson, MA, LPC, LMHP
• William Thomas Anderson, MA
• Andrea's Angels, Inc.
• Claudia Andres Martin

• Addiction (Substance Use Disorder) Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.