Mary Anders

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LP3976 Issued in MN

Legal business name

MARY ANDERS

Practice address

13911 Ridgedale Dr
Suite 330
Minnetonka, MN 55305-1771

Phone

(763) 447-5793

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Mary Anders, MA LP

Title

Owner

Phone

(763) 447-5793

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1801117643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR",
            "address_2": "SUITE 330",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051771",
            "telephone_number": "763-447-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR",
            "address_2": "SUITE 330",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051771",
            "telephone_number": "763-447-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-447-5793",
        "authorized_official_credential": "MA LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857725100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Davis Martinez, FNP
• Mike Christian Martinez
• Pedro Luis Martinez, APRN
• Ashley M Marwede, PA-C
• Sharon Crimmins Marx, M.D.
• Cornelia F Mason
• Janna Marie Mason, MS, LPCC, NCC
• Stephanie Ann Mason, DNP
• Camryn Masse
• Denisse Matheu, ARNP

• Mental Health Counselor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.