Active NPI
Anna Louise Addis, RN,LMHC,NCC
- Mental Health Counselor
- Leesburg, FL
National Provider Identifier
1841342979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6043
- Practice address
- 33057 Professional Dr
Leesburg, FL 34788-7506 - Phone
- (352) 878-0081
- Fax
- (352) 314-9444
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH6043 | FL | Primary |
Addresses
Primary practice location
33057 Professional Dr
Leesburg, FL 34788-7506
Mailing address
33057 Professional Dr
Leesburg, FL 34788-7506
Phone (352) 878-0081
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH6043 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1841342979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33057 PROFESSIONAL DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347887506",
"telephone_number": "352-878-0081",
"fax_number": "352-314-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33057 PROFESSIONAL DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347887506",
"telephone_number": "352-878-0081",
"fax_number": "352-314-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIS",
"first_name": "ANNA",
"middle_name": "LOUISE",
"credential": "RN,LMHC,NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.