SUSAN ELIZABETH ANDERSEN NPI 1689565095

NPI Information

  • NPI: 1689565095
  • Provider Name: SUSAN ELIZABETH ANDERSEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 138 ARDMORE CROSSING DR
    SHELBYVILLE, KY
    ZIP 40065
  • Phone: (502) 640-0369

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NPI Details

Susan Elizabeth Andersen is a mental health counselor in Shelbyville, KY. Susan Elizabeth Andersen NPI is 1689565095. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

138 ARDMORE CROSSING DR
SHELBYVILLE, KY
ZIP 40065-501
Phone: (502) 640-0369

The NPI 1689565095 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 7/14/2025 and was last updated on 7/14/2025.

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
1101YM0800XCounselorMental Health256477KENTUCKYYes

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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