Jeremy Gilman Anderson, MA, MDIV
Individual provider Active NPI Mental Health Counselor · The Dalles, OR
NPI 1679880579 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1679880579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 419 E 7TH St Ste 207
The Dalles, OR 97058-2676 - Phone
- (541) 296-5452
- Fax
- (541) 296-9418
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Center for Living | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
419 E 7TH St Ste 207
The Dalles, OR 97058-2676
Mailing address
419 E 7TH St Ste 207
The Dalles, OR 97058-2676
Phone (541) 296-5452
Other providers in The Dalles, OR
- Joshua A Ambrosio
- Anchor Anesthesia LLC
- Kristen Lynn Anders
- Brittany Anderson
- Candace Madeline Anderson
- Margaret H. Anderson
- Rose Anna Anderson
- Ariadne Andrade Lopez
- Yeimi Andrade
- Lucille Elenore Andreas
All providers in The Dalles, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.