Johnny Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006565845 Issued in LA

Practice address

4480 General de Gaulle Dr
New Orleans, LA 70131-6941

Phone

(504) 648-6756

NPI assigned

Dec 29, 2016

Sex

Male

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

State licenses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1639614654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 BURKE RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271614",
            "telephone_number": "504-518-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DE GAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-648-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHNNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "006565845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Anderson, LCSW
• Geraldine Anderson, LMSW
• Jacob Boone Anderson
• Jasmine Joane Anderson, LAT, ATC
• Jessica Marie Anderson, NP
• Jordan Lynn Anderson, MHS
• Kathleen M Anderson, D.M.D.
• Kathryn Anderson, AGACNP
• Kelly Nicole Anderson
• Kenyatta Anderson

• Mental Health Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.