Patricia Andersen, MS LMFT CMHS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60848008 Issued in WA

Practice address

1157 3Rd Ave Ste 100
Longview, WA 98632-6007

Phone

(360) 560-7735

Fax

(360) 577-8879

NPI assigned

Dec 16, 2014

Sex

Female

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 2

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 and National Provider Directory roles.

• Cowlitz County Therapist Inc.

  • Marriage & Family Therapist
  • Longview, WA
  • NPI 1588258982
  NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1831597384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326007",
            "telephone_number": "360-560-7735",
            "fax_number": "360-577-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326007",
            "telephone_number": "360-560-7735",
            "fax_number": "360-577-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "PATRICIA",
        "credential": "MS LMFT CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60848008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048981",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AGENCY AFFILIATED REGISTRATION",
            "identifier": "CG 60139301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brock J Amos, CRNA
• Aleigha M Andersen, SUDPT
• Ashley Marie Andersen, LMP
• Christine Andersen
• Donald E Andersen, LICSW
• Ashlie R Anderson
• Danelle Anderson
• Deanna L Anderson, MSW
• Debbie C. Anderson, ARNP
• Jana Michelle Anderson, R.D.H.

• All providers in Longview, WA
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.