MS. JESSICA LEA ANDERSON MA LPC NCC NPI 1679708390

NPI Information

NPI: 1679708390
Provider Name: MS. JESSICA LEA ANDERSON, MA LPC NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1320 MENDOTA ST STE 120
MADISON, WI
ZIP 53714
Phone: (608) 280-3106
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MS. Jessica Lea Anderson, MA LPC NCC is a professional counselor in Madison, WI with 18 years of experience. MS. Jessica Lea Anderson, MA LPC NCC NPI is 1679708390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1320 MENDOTA ST STE 120
MADISON, WI
ZIP 53714-060
Phone: (608) 280-3106

The NPI 1679708390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 8/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	LPC.0011615	COLORADO	No
3	101YP2500X	Counselor	Professional	5854-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679708390	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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