MR. PERRY J ANDERSON MSW NPI 1457574527

NPI Information

NPI: 1457574527
Provider Name: MR. PERRY J ANDERSON, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810
Phone: (715) 485-8445
Get Directions

MR. Perry J Anderson, MSW is a mental health counselor in Balsam Lake, WI. MR. Perry J Anderson, MSW NPI is 1457574527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810-071
Phone: (715) 485-8445
Fax: (715) 485-8490

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/2/2010.

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	6798-123	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	84 81085	OTHER	WISCONSIN	MEDICA INSURANCE
2	000044515-0002	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE GRP & SEQ NUMBER
3	1026794	OTHER	WISCONSIN	PREFERRED ONE INSURANCE
4	37F39PE	OTHER	WISCONSIN	BCBS MN INSURANCE
5	373595	OTHER	WISCONSIN	MHN HMC INSURANCE
6	338871	OTHER	WISCONSIN	TRI CARE INSURANCE
7	2068111	OTHER	WISCONSIN	CIGNA INSURANCE
8	P31528	MEDICARE UPIN	WISCONSIN
9	P 12027501	OTHER	WISCONSIN	WPPN INSURANCE
10	1258073	OTHER	WISCONSIN	ARAZ INSURANCE
11	40930200	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: 5/5/2024

NPI Synchronization or Removal

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