Individual provider Active NPI

Robin Anderson

  • Professional Counselor
  • Riverton, UT
National Provider Identifier
1679087092
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10874058-6004 Issued in UT
Practice address
3740 W Market Center Dr Ste 1200
Riverton, UT 84065-8026
Phone
(801) 240-9436
NPI assigned
Nov 21, 2017
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008441 MI
Professional Counselor 101YP2500X 10874058-6004 UT Primary

Addresses

Primary practice location

3740 W Market Center Dr Ste 1200
Riverton, UT 84065-8026

Mailing address

37634 Enterprise CT
Farmington Hills, MI 48331-3440
Phone (248) 553-0902

Other practice location 1

37634 Enterprise Ct
Farmington Hills, MI 48331-3440
Phone (248) 553-0902

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

LicenseStateTypeSpecialty
6401008441MIMDProfessional Counselor
10874058-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services Past Accepting new patients
LDS Family Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1679087092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37634 ENTERPRISE CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313440",
            "telephone_number": "248-553-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W MARKET CENTER DR STE 1200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37634 Enterprise Ct",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483313440",
            "country_code": "US",
            "telephone_number": "248-553-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008441",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "10874058-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.