Karissa L Anderson, LPCC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

262999 Issued in KY

Practice address

292 Glades Rd Ste 8
Berea, KY 40403-1368

Phone

(859) 859-7862

Fax

(859) 972-0616

NPI assigned

Mar 26, 2018

Last updated

Apr 2, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parsons Counseling, LLC

  dba Parsons Counseling & Play Therapy Center

  • Mental Health Counselor
  • Berea, KY
  • NPI 1376911008
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1649775248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-985-7862",
            "fax_number": "859-972-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 GLADES RD STE 8",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031368",
            "telephone_number": "859-859-7862",
            "fax_number": "859-972-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Big Hill Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752596",
            "country_code": "US",
            "telephone_number": "859-428-7862",
            "fax_number": "859-972-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KARISSA",
        "middle_name": "L",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "262999",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "262999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100656970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Adams
• Dicky Lhaden Aikat, M.D.
• Kelli L Albert
• Janaina Alexander
• Colleen E Ambrose, NP
• Loni Michelle Anderson, PHARM. D
• Arc Clinical Solutions
• Hannah J Artley
• B Squared Behavior Analysis, LLC
• Back Office Management Services LLC

• Mental Health Counselor in Berea, KY
• Providers in Berea, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.