Heather Lynn Anderson, LMFT, LP
Individual provider Active NPI Clinical Psychologist · Cold Spring, MN
NPI 1710115860 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1710115860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP6667 (MN)
- Practice address
- 20 Red River Ave S Ste 100
Cold Spring, MN 56320-2594 - Phone
- (320) 407-1100
- Fax
- (320) 407-1120
- NPI assigned
- Jun 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 1St St S
Suite 205
Cold Spring, MN 56320-2591
Phone (320) 492-9668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003003468 | MN | Practitioner - Clinical Psychologist | 1658742259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6667 | MN | MD | Clinical Psychologist |
| 1394 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chain of Lakes Counseling, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
| True Balance LTD | Marriage & Family Therapist | Past |
Accepting new patients |
Locations
215 1st St S
Ste 205
Cold Spring, MN 56320
Phone (320) 492-9668
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP6667 | MN | Yes |
| Marriage & Family Therapist | 106H00000X | 1394 | MN |
Addresses
Primary practice location
20 Red River Ave S Ste 100
Cold Spring, MN 56320-2594
Mailing address
54064 Csah 20
Paynesville, MN 56362-9533
Phone (320) 492-9668
Other providers in Cold Spring, MN
- Jennifer Jean Aronson
- Assumption Community Services Inc.
- Assumption Home Inc.
- Assumption Home Inc.
- Assumption Home, Inc.
All providers in Cold Spring, MN · Clinical Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.