Dennis O. Andersen, L.P.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

1500 Northway Drive
Suite 1
Saint Cloud, MN 56303-1218

Phone

(320) 253-4321

Fax

(320) 240-8525

NPI assigned

Aug 23, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Minnesota Couseling Center, Inc.

  • Clinical Child & Adolescent Psychologist
  • Saint Cloud, MN
  • NPI 1457544686

  Counseling

  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770690380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTHWAY DRIVE",
            "address_2": "SUITE 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031218",
            "telephone_number": "320-253-4321",
            "fax_number": "320-240-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTHWAY DRIVE",
            "address_2": "SUITE 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031218",
            "telephone_number": "320-253-4321",
            "fax_number": "320-240-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "DENNIS",
        "middle_name": "O.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PROVIDER NU",
            "identifier": "1026890",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER NUMBER",
            "identifier": "114570",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "28Q51AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "6220282",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP PROVIDER NUMBER",
            "identifier": "114614",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "25Q50CE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra K Amundson
• Charmin Amundson, PHARMD
• Mary Elizabeth Amundson, APRN, CNP
• Anchor Lane Behavioral Services
• Kirsten M Andenas Aligada, M.A.
• Rebecca Andersen
• Aimee Lee Anderson
• Alexander Joseph Anderson
• Bradley Myren Anderson, MD
• Cheryl Lafollette Anderson, PHD, PT, MBA, GCS

• Counseling Psychologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.