Donald Anderson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0717000655 Issued in VA

Practice address

3959 Electric Rd Ste 156
Roanoke, VA 24018-4571

Phone

(540) 797-0569

Fax

(540) 387-1047

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Donald Anderson

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1598843591
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1710064845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 156",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184571",
            "telephone_number": "540-797-0569",
            "fax_number": "540-387-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 156",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184571",
            "telephone_number": "540-797-0569",
            "fax_number": "540-387-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0717000655",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice-Ashton C Anderson, MS, LPC
• Amanda Anderson
• Ashley Anderson, ED.S
• Caitlin Anderson, PA
• Diana Anderson
• Jacob Kyle Anderson, CRNA
• Jordana Marie Anderson, LCSW
• Laura Tuggle Anderson, COTA/L
• Martha Anderson, CNS
• Noel Anderson, MMT, MT-BC

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.