Nancy Anderson, LPC
Individual provider Active NPI Professional Counselor · Portland, OR
NPI 1942667415 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1942667415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C2364 (OR)
- Practice address
- 9450 SW Barnes Rd
Portland, OR 97225-6619 - Phone
- (503) 216-2025
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002179 | OR | Practitioner - Mental Health Counselor | 4183063191 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2364 | OR | Yes |
Addresses
Primary practice location
9450 SW Barnes Rd
Portland, OR 97225-6619
Mailing address
9450 SW Barnes Rd
Portland, OR 97225-6619
Other providers in Portland, OR
- Michelle Anderson
- Michelle Anderson
- Miriam Joy Anderson
- Molly Anderson
- Nakia J. Anderson
- Paige Anderson
- Paige S Anderson
- Philip Dean Anderson
- Rachael Anderson
- Rachel Anderson
All providers in Portland, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.