Anna Farris, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.01410 Issued in IL

Practice address

201 W Springfield Ave Ste 1005
Champaign, IL 61820-4968

Phone

(491) 821-7639

NPI assigned

Aug 17, 2018

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Grounded Life Counseling, PLLC

  • Professional Counselor
  • Champaign, IL
  • NPI 1528854940
  NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1790265825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 OXFORD CT",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619201706",
            "telephone_number": "217-549-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1005",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204968",
            "telephone_number": "491-821-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.01410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Service of Champaign County
• Family Support & Training Center
• Duchelynn Fanfan
• Saba Farid, OD
• Amanda Farrar
• James Mars Farris, PMHNP
• Tiffani Faust
• Tana M Fedewa, MSWLL
• Feetlabs SC
• Kelly Anne Fein, LCSW

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.