Individual provider Active NPI

Heather Lin Anderson, MFT

  • Marriage & Family Therapist
  • Arroyo Grande, CA
National Provider Identifier
1861711327
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 49921 Issued in CA
Practice address
1303 E Grand Ave Ste 233
Arroyo Grande, CA 93420-2462
Phone
(805) 701-0723
Fax
(805) 474-2025
NPI assigned
May 24, 2010
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 49921 CA Primary

Addresses

Primary practice location

1303 E Grand Ave Ste 233
Arroyo Grande, CA 93420-2462

Mailing address

524 Carol PL
Arroyo Grande, CA 93420-3714
Phone (805) 701-0723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240318001641 CA Practitioner - Marriage and Family Therapist 1456798180 Practice locations: Arroyo Grande, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 E Branch St
Suite 103C
Arroyo Grande, CA 93420-2802
Phone (805) 701-0723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 49921CAMDMarriage & Family Therapist
49921CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1861711327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CAROL PL",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203714",
            "telephone_number": "805-701-0723",
            "fax_number": "805-474-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E GRAND AVE STE 233",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202462",
            "telephone_number": "805-701-0723",
            "fax_number": "805-474-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HEATHER",
        "middle_name": "LIN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 49921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.