ANNELISA HELENE PEDERSEN PHD NPI 1356589683

NPI Information

  • NPI: 1356589683
  • Provider Name: ANNELISA HELENE PEDERSEN, PHD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2222 WESTERN TRAILS BLVD STE 107
    AUSTIN, TX
    ZIP 78745
  • Phone: (512) 815-3814

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NPI Details

Annelisa Helene Pedersen, PHD is a mental health counselor in Austin, TX. Annelisa Helene Pedersen, PHD NPI is 1356589683. 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:

2222 WESTERN TRAILS BLVD STE 107
AUSTIN, TX
ZIP 78745-601
Phone: (512) 815-3814

The enumeration date for this NPI number is 1/23/2009 and was last updated on 6/22/2022.

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
1103TC0700XPsychologistClinical38061TEXASNo
2101YM0800XCounselorMental HealthYes

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
11356589683OTHERTEXASBCBSTX

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: 11/21/2025

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