Individual provider Active NPI

Christopher Anderson, MSED.

  • Mental Health Counselor
  • Olean, NY
National Provider Identifier
1871266064
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005658-01 Issued in NY
Practice address
237 Delaware Ave Ste 2
Olean, NY 14760-2601
Phone
(716) 307-3055
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005658-01 NY Primary

Addresses

Primary practice location

237 Delaware Ave Ste 2
Olean, NY 14760-2601

Mailing address

787 Lippert Hollow Rd
Allegany, NY 14706-9715
Phone (716) 307-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240926002159 NY Practitioner - Mental Health Counselor 0143761486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005658-01NYMDMental Health Counselor
005658NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Mental Health Counseling, PLLC CurrentSince Jul 16, 2024 Accepting new patients

Locations

237 Delaware Ave
Ste 2
Olean, NY 14760
Phone (716) 307-3055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1871266064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 LIPPERT HOLLOW RD",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147069715",
            "telephone_number": "716-307-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DELAWARE AVE STE 2",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602601",
            "telephone_number": "716-307-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MSED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005658-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.