Victor Devon Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7381 Palm Hills Dr
Jacksonville, FL 32244-4714

Phone

(954) 881-3847

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2021.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1831865773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 PALM HILLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444714",
            "telephone_number": "954-881-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 PALM HILLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444714",
            "telephone_number": "954-881-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VICTOR",
        "middle_name": "DEVON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takayah Joy Michelle Anderson
• Tanisha Anderson, DNP, APRN, FNP-C
• Thalia Maria Anderson
• Therese Farmer Anderson, MD
• Tina Michelle Anderson, APRN
• Volaura Shanae Anderson
• Jessica B Anderton, PSY.D.
• Bobbie Anding, APRN
• Maria De L. Andino, P.T.
• Jessica Maria Andrade, APRN FNP-BC

• All providers in Jacksonville, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.