Individual provider Active NPI

Adrienne Lynn Anderson, PHD

  • Marriage & Family Therapist
  • Alexandria, VA
National Provider Identifier
1811201791
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0730000429 Issued in VA
Practice address
101 S Whiting St Ste 106
Alexandria, VA 22304-3416
Phone
(571) 257-8634
Fax
(571) 921-4304
NPI assigned
Aug 3, 2010
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0730000429 VA Primary

Addresses

Primary practice location

101 S Whiting St Ste 106
Alexandria, VA 22304-3416

Mailing address

835 3Rd Ave
Chula Vista, CA 91911-1352
Phone (619) 427-4661

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Http://www.gcl.info Health Information Exchange (HIE)

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0730000429VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Consortium, LLC CurrentSince Mar 29, 2020 Accepting new patients

Locations

101 S Whiting St
Ste 106
Alexandria, VA 22304
Phone (571) 257-8634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1811201791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-427-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST STE 106",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043416",
            "telephone_number": "571-257-8634",
            "fax_number": "571-921-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ADRIENNE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0730000429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://www.gcl.info",
            "affiliation": "N",
            "endpointDescription": "This is the GCL Psychological Services exchange center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 S Whiting St Ste 106",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223043416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.