Individual provider Active NPI

Abrea Lynn Anderson, LMHCA

  • Counselor
  • Olympia, WA
National Provider Identifier
1710499330
Registry record updated Nov 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
60556103 Issued in WA
Practice address
7032 Mirasett St SW
Olympia, WA 98512-1814
Phone
(360) 789-9524
NPI assigned
Nov 5, 2017
Last updated
Nov 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60556103 WA Primary

Addresses

Primary practice location

7032 Mirasett St SW
Olympia, WA 98512-1814

Mailing address

7032 Mirasett St SW
Olympia, WA 98512-1814
Phone (360) 789-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2025 through Feb 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60556103WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1710499330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 MIRASETT ST SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985121814",
            "telephone_number": "360-789-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 MIRASETT ST SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985121814",
            "telephone_number": "360-789-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ABREA",
        "middle_name": "LYNN",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60556103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.