Elizabeth Anderson, MS, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1125-5-15-21-539 Issued in ND

Practice address

1701 S 12TH St
Bismarck, ND 58504-6644

Phone

(701) 751-0384

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• The Kid'S Therapy Center LLC

  • Community/Behavioral Health Agency
  • Bismarck, ND
  • NPI 1528309846
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1851965610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S 12TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046644",
            "telephone_number": "701-751-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 12TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046644",
            "telephone_number": "701-751-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELIZABETH",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1125-5-15-21-539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Anderson, AU.D.
• Callie Marie Anderson, OTD, OTR/L
• Connor Jay Anderson, AAS NRP CP-C
• Daniel Ernest Anderson, D.C.
• Danielle Rae Anderson, PA-C
• Elizabeth A Anderson
• Jamie R Anderson, LBSW
• Kathy M Anderson, M.D.
• Kelsey Kaye Lang Anderson, LPCC
• Kevin Anderson

• All providers in Bismarck, ND
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.