Sammie Jo Anderson, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-64413 Issued in MT

Practice address

11 5TH St N Ste 202
Great Falls, MT 59401-3269

Phone

(406) 836-2669

NPI assigned

Mar 27, 2023

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1902500960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 5TH ST N STE 202",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013269",
            "telephone_number": "406-836-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 5TH ST N STE 202",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013269",
            "telephone_number": "406-836-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SAMMIE JO",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-64413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Anderson
• David E Anderson, MD
• Eric J. Anderson, MD
• Fred E. Anderson, D.M.D.
• Loy L Anderson, MD
• Teslynn Alissa Anderson, MSC
• Laurel Ann Andrechak, FNP, PSYCH NP
• Shelley Louise Andrus, APRN
• Anesthesia Associates of Great Falls LLC
• Ann M Doll Midwifery Services PLLC

• Addiction (Substance Use Disorder) Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.