Vanessa H Anderson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008880 Issued in GA

Practice address

4145 Columbia Rd
Martinez, GA 30907-5400

Phone

(706) 869-7373

Fax

(706) 869-7380

NPI assigned

Jan 12, 2016

Last updated

Apr 14, 2019By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Focus Faith, LLC

  • Community/Behavioral Health Agency
  • Martinez, GA
  • NPI 1861130932

  Multi-Specialty

  NPD (past)
• Georgia Family Crisis Solutions

  • Professional Counselor
  • Martinez, GA
  • NPI 1164637773
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1952767543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 JACKSON ST",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133752",
            "telephone_number": "404-594-9449",
            "fax_number": "866-217-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075400",
            "telephone_number": "706-869-7373",
            "fax_number": "706-869-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Waving Willow Ct",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301352082",
            "country_code": "US",
            "telephone_number": "928-594-1360",
            "fax_number": "866-217-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VANESSA",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americanwork, Inc.
• Americanwork, Inc.
• Ela D Amin, BS
• Meredith Burgamy Anderson, OTR/L
• Patricia Anderson, RN,C.
• Andrew R Allgood DMD PC
• Anesthesia by Request, PC
• Anora Health
• Apria Healthcare LLC
• Orchid Archer, APRN

• Professional Counselor in Martinez, GA
• Providers in Martinez, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.