Organization Active NPI

Kevin and Sandy Anderson, LLC

  • Adult Mental Health Clinic/Center
  • Austin, MN
National Provider Identifier
1699695346
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KEVIN AND SANDY ANDERSON, LLC
Practice address
308 4TH Ave NW Ste 10
Austin, MN 55912-3140
Phone
(507) 440-0134
Fax
(855) 748-3132
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Kevin Scott Anderson, MA, EDS, LPNPI 1669867511
Title
Licensed Psychologist/Owner
Phone
(507) 440-0134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

308 4TH Ave NW Ste 10
Austin, MN 55912-3140

Mailing address

902 E 2ND St Ste 226
Winona, MN 55987-6510
Phone (507) 440-0134

Other practice location 1

902 E 2nd St Ste 226
Winona, MN 55987-6510
Phone (507) 440-0134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1699695346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST STE 226",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876510",
            "telephone_number": "507-440-0134",
            "fax_number": "855-748-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 4TH AVE NW STE 10",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123140",
            "telephone_number": "507-440-0134",
            "fax_number": "855-748-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 E 2nd St Ste 226",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876510",
            "country_code": "US",
            "telephone_number": "507-440-0134",
            "fax_number": "855-748-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN AND SANDY ANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "507-440-0134",
        "authorized_official_credential": "MA, EDS, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.