Mindi Ann Anderson, CAADE CATC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

123120 Issued in CA

Practice address

856 N Sacramento St Ste H
Lodi, CA 95240-1251

Phone

(209) 367-5433

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Life Line Centers of California Inc

  • Addiction (Substance Use Disorder) Counselor
  • Lodi, CA
  • NPI 1154871416
  NPD (past) Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841710282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N SACRAMENTO ST STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401251",
            "telephone_number": "209-376-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N SACRAMENTO ST STE H",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401251",
            "telephone_number": "209-367-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19690 N Highway 99 Unit 162",
            "address_purpose": "LOCATION",
            "city": "Acampo",
            "state": "CA",
            "postal_code": "952209556",
            "country_code": "US",
            "telephone_number": "805-975-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 N School St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952402161",
            "country_code": "US",
            "telephone_number": "805-975-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MINDI",
        "middle_name": "ANN",
        "credential": "CAADE CATC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "123120",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "123120",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "123120",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambient Elder Care Management and Transport Inc.
• Jason Amick
• Philip Amick
• Abril Anaya
• Angela Anderson, MFT
• Amy L Andrews
• Dana Andrews, PT
• Jacqueline Anhar
• Augusto Sebastian Aniano Massimino
• Anisha Ranchhod DDS, Inc. (Lodi Pediatric Dentistry)

• Addiction (Substance Use Disorder) Counselor in Lodi, CA
• Providers in Lodi, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.