Active NPI
Carl Anderson
- Professional Counselor
- Columbus, OH
National Provider Identifier
1750823811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1300782
- Practice address
- 1535 Georgesville Rd
Columbus, OH 43228-3615 - Phone
- (614) 870-6670
- Fax
- (614) 870-6685
- NPI assigned
- Nov 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1300782 | OH | Primary |
Addresses
Primary practice location
1535 Georgesville Rd
Columbus, OH 43228-3615
Mailing address
1535 Georgesville Rd
Columbus, OH 43228-3615
Phone (614) 870-6670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300782 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling, LTD. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1750823811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 GEORGESVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432283615",
"telephone_number": "614-870-6670",
"fax_number": "614-870-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GEORGESVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432283615",
"telephone_number": "614-870-6670",
"fax_number": "614-870-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-07",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1300782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.