Peggy L Anderson, PLADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sergeant Bluff, IA
NPI 1922128693 · NPPES record last updated Jan 24, 2015
Key facts
- NPI
- 1922128693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- P-431 (NE)
- Practice address
- 204 1St St
Suite A5
Sergeant Bluff, IA 51054-8588 - Phone
- (712) 943-2787
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| P-431 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Monitoirng Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-431 | NE | Yes |
Addresses
Primary practice location
204 1St St
Suite A5
Sergeant Bluff, IA 51054-8588
Mailing address
607 S Westcott St
Sioux City, IA 51106-1063
Phone (712) 223-2270
Other providers in Sergeant Bluff, IA
- Becky Admire
- Assisted Living Concepts Inc
- Eileen M Barto
- Richard Keith Bokemper
- Kaley Bubke
- Eric Andrew Campbell
All providers in Sergeant Bluff, IA · Addiction (Substance Use Disorder) 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 Jan 24, 2015. 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.