Anson L Service Sr., PSY.D., LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH60413305 Issued in WA

Practice address

717 NE 61St St
#202
Vancouver, WA 98665-8753

Phone

(360) 718-6548

Fax

(360) 718-6554

NPI assigned

Jan 9, 2014

Last updated

Apr 14, 2017By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ohana Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kelso, WA
  • NPI 1295324135
  NPD Authorized official
• Adventure Learning and Assessment

  dba Adventure Psychological Services, LLC

  • Counselor
  • Vancouver, WA
  • NPI 1811364227
  NPD

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1831511849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST",
            "address_2": "#202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "360-718-6548",
            "fax_number": "360-718-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST",
            "address_2": "#202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "360-718-6548",
            "fax_number": "360-718-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVICE",
        "first_name": "ANSON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PSY.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60413305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049180",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Dental
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• Eduardo Serpa
• Melanie A Serpa, OT
• Nataly Serrano
• Serving Hands Medical Center NPC
• Henry William Sessions Jr., PA C
• Lisa A Sessions, COTA/L
• Phillip Adam Setran, MD
• Bonita J Seubert

• Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.