Ronnell Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20065 Issued in NC

Practice address

8128 River Rd SE Unit D
Southport, NC 28461-8972

Phone

(910) 367-5036

NPI assigned

May 13, 2021

Last updated

Jan 21, 2026By 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 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hakuna Wellness Center LLC

  • Clinic/Center
  • New Bern, NC
  • NPI 1689217564
  NPD
• Dogwood Autism Services, LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1437674587
  NPD

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1982278180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 RIVER RD SE UNIT D",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618972",
            "telephone_number": "910-367-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 RIVER RD SE UNIT D",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618972",
            "telephone_number": "910-367-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RONNELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20065",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "N",
            "address_1": "5163 Roswell Rd",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303422206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "N",
            "address_1": "8128 River Rd SE Unit D",
            "city": "Southport",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284618972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan L Aldrich, MD
• Brittiany L Allen, P.T.
• Tracey Anne Allen, FNP
• Vicki Thomas Allen, DCN, RDN, LDN, CDCES
• Barry Dean Amerson, CRNA
• Paul Christian Armstrong, MD
• Bridget Atchley, M.ED., NCC, LPC
• Atlantic Urology PC
• Avila Dermatology PLLC (Southport Dermatology)
• Christina L Avila, MD

• Mental Health Counselor in Southport, NC
• Providers in Southport, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.