Kristy Lee Andersen
Individual provider Active NPI Mental Health Counselor · Las Vegas, NV
NPI 1962747006 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1962747006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5130 S Pecos Rd
Suite 2B
Las Vegas, NV 89120-1248 - Phone
- (888) 753-3302
- NPI assigned
- Nov 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5130 S Pecos Rd
Suite 2B
Las Vegas, NV 89120-1248
Mailing address
3515 N Bronco St
Las Vegas, NV 89108-4807
Phone (702) 339-3489
Other providers in Las Vegas, NV
- Nicole Anders
- Tristen Anders
- Allison Andersen
- David A Andersen
- Jennifer Andersen
- Madeline Andersen
- Shaun Andersen
- Anderson Audiology PC
- Terri Anderson Brooks
- Anderson Chiropractic
All providers in Las Vegas, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. 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.