Andrew Anderson, LPC

Individual provider Active NPI Counselor · Richmond, VA

NPI 1669005757 · NPPES record last updated Feb 17, 2020

Key facts

NPI
1669005757
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
0701008769 (VA)
Practice address
2008 Libbie Ave Ste 101
Richmond, VA 23226-1838
Phone
(804) 665-4681
NPI assigned
Feb 17, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0701008769VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Loewen LPC, LLC Counselor Past
since Feb 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X
Counselor 101Y00000X 0701008769 VA Yes

Addresses

Primary practice location

2008 Libbie Ave Ste 101
Richmond, VA 23226-1838

Mailing address

219 E Bank St Apt 211
Petersburg, VA 23803-3420
Phone (704) 277-0201

Other providers in Richmond, VA

All providers in Richmond, VA · Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.