Clinton Thomas Anderson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201840 Issued in TX

Practice address

1519 Florence Rd Ste 5
Killeen, TX 76541-7904

Phone

(254) 462-2775

Fax

(254) 630-1115

NPI assigned

Mar 1, 2007

Last updated

May 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choose Courage Counseling Services, PLLCGroup PAC ID 3577936863, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Choose Courage Counseling Services PLLC

  • Clinical Social Worker
  • Broken Arrow, OK
  • NPI 1528631314
  Medicare reassignment Care Compare group NPD
• Arete' Mental Health Counseling, PLLC

  • Professional Counselor
  • Killeen, TX
  • NPI 1902243538

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1871621060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-462-2775",
            "fax_number": "254-630-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-462-2775",
            "fax_number": "254-630-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLINTON",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291812001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmelia Amuna
• Amy Stewart
• Samuel Anaya Jr., MD
• Anchorway ABA TX LLC
• Marcia Nancy Anderson-Vizcarra
• Jaime Anderson, PT
• Jennifer Anderson
• Julia Ann Anderson, PA-C
• Lauren Marie Anderson, CF-SLP
• Markeshia Lanette Anderson

• Marriage & Family Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.