Active NPI
Kathryn Anne Anderson, LCSW
- Counselor
- Boise, ID
National Provider Identifier
1942448873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCSW1164
- Practice address
- 600 N Robbins Rd.
Boise, ID 83701 - Phone
- (208) 489-4558
- Fax
- (208) 489-4053
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCSW1164 | ID | Primary |
Addresses
Primary practice location
600 N Robbins Rd.
Boise, ID 83701
Mailing address
600 N Robbins Road
Boise, ID 83701
Phone (208) 489-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1164 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1942448873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ROBBINS ROAD",
"city": "BOISE",
"state": "ID",
"postal_code": "83701",
"telephone_number": "208-489-4444",
"fax_number": "208-489-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD.",
"city": "BOISE",
"state": "ID",
"postal_code": "83701",
"telephone_number": "208-489-4558",
"fax_number": "208-489-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCSW1164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.