Individual provider Active NPI

Rasheda L Anderson

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1699157727
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0283 Issued in NV
Practice address
4151 Memorial Dr
Suite 110-C
Decatur, GA 30032-1504
Phone
(404) 974-4820
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP0283 NV Primary

Addresses

Primary practice location

4151 Memorial Dr
Suite 110-C
Decatur, GA 30032-1504

Mailing address

16 Delighted Ave
North Las Vegas, NV 89031-1393
Phone (404) 437-0596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912003700 NV Practitioner - Mental Health Counselor 5193265452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changing Minds Psychiatry LLCGroup PAC ID 8820365729, 51 clinicians

Practice addresses (Care Compare)

911 N Buffalo Dr
Unit 213
Las Vegas, NV 89128-0381
Phone (702) 405-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health and Wellness of Nevada, LLC Mental Health CurrentSince Aug 6, 2023 Accepting new patients
Changing Minds Psychiatry LLC CurrentSince Aug 30, 2024 Accepting new patients
Mustard Seed Counseling Center LLC Mental Health Current Accepting new patients
Rasheda L Anderson LLC Current Accepting new patients
Medcura Health, Inc. Past Accepting new patients

Locations

2960 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 677-1104

1810 E Sahara Ave
Ste 242
Las Vegas, NV 89104
Phone (702) 417-1366

911 N Buffalo Dr
Unit 213
Las Vegas, NV 89128
Phone 7029421774 ext. 106

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1699157727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DELIGHTED AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311393",
            "telephone_number": "404-437-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR",
            "address_2": "SUITE 110-C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321504",
            "telephone_number": "404-974-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RASHEDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.