Teresa M Anderson, LMHC, CADC
Individual provider Active NPI Mental Health Counselor · Fort Dodge, IA
NPI 1891925293 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1891925293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001287 (IA)
- Practice address
- 1728 Central Ave Ste 14
Fort Dodge, IA 50501-4200 - Phone
- (515) 955-1836
- Fax
- (515) 955-7115
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07061 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 001287 | IA | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07061 | IA | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 001287 | IA | Yes |
Addresses
Primary practice location
1728 Central Ave Ste 14
Fort Dodge, IA 50501-4200
Mailing address
1728 Central Ave Ste 14
Fort Dodge, IA 50501-4200
Phone (515) 955-1836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159608 | Medicaid | IA | |
| 07466 | Other | IA | WELLMARK BC/BS |
Other providers in Fort Dodge, IA
- Rachel G Amhof
- Roxanne D Amhof
- Kartik Anand
- Emily Anderson
- Kimberly Sue Anderson
- Rhonda Lynn Andrews
- Anesthetix of Iowa, PC
- Applewhite Dental Iowa PC
- Aquatrim Molecular Health
- Benigno Manaloto Aquino
All providers in Fort Dodge, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.