Individual provider Active NPI

Jeannine S Anderson

  • Mental Health Counselor
  • Lone Tree, CO
National Provider Identifier
1801081898
Registry record updated Aug 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10200 Park Meadows Dr
Unit 2933
Lone Tree, CO 80124-5456
Phone
(719) 930-6334
NPI assigned
Sep 12, 2007
Last updated
Aug 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10200 Park Meadows Dr
Unit 2933
Lone Tree, CO 80124-5456

Mailing address

10200 Park Meadows Dr
Unit 2933
Lone Tree, CO 80124-5456
Phone (719) 930-6334

Other names 1

  • Miss Jeannine C Stout Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218844800000",
    "number": "1801081898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 PARK MEADOWS DR",
            "address_2": "UNIT 2933",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245456",
            "telephone_number": "719-930-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 PARK MEADOWS DR",
            "address_2": "UNIT 2933",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245456",
            "telephone_number": "719-930-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEANNINE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNINE",
            "last_name": "STOUT",
            "middle_name": "C",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2008; 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.