ANDRE ANDERSON (NPI# 1023375979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023375979 |
| Entity Type | Individual |
| Full Name | ANDRE ANDERSON |
| Practice Address |
12440 Firestone Blvd Norwalk CA 90650-4328 |
| Practice Telephone | 5629296688 |
| Mailing Telephone | 5629296688 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134398480 | Andre L Anderson | Contractor | 4316 Summercrest Blvd Apt 514, Antioch, TN 37013-5804 | 2008-02-20 |
| 1780160960 | Andre Anderson II | Counselor | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2018-07-11 |
| 1174019731 | Andre Anderson | Dentist | 445 Highway 46 S, Dickson, TN 37055-2545 | 2018-07-06 |
| 1407235955 | Andre Anderson | Family Medicine | 1530 N 7th St Ste 200, Terre Haute, IN 47807-1061 | 2015-05-29 |
| Street Address |
12440 FIRESTONE BLVD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063465557 | A & T Healthcare Services, Inc. | Home Health | 12440 Firestone Blvd, Ste 240, Norwalk, CA 90650-4328 | 2006-05-18 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1477168649 | Juan Santillan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-09-14 |
| 1356959928 | Kourtney Benson | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-07-20 |
| 1114542180 | Katelyn Hazel Avila | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-06-15 |
| 1205463122 | Violet Gonzalez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-03-23 |
| 1972136778 | Dennisse Rosas | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-02-20 |
| 1295386837 | Jason Marc Dubois | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-09-25 |
| 1417509878 | Brandon J Grant | Nurse Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-07-15 |
| 1588138689 | Elizama Sigala | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210437 | Bianca Paolello | Counselor | 83 East Ave Ste 208, Norwalk, CT 06851-4902 | 2019-11-26 |
| 1144700964 | Scott Taylor Brutsche | Counselor | 34 Woodlawn, Norwalk, OH 44857 | 2018-08-21 |
| 1770094971 | Christen Bucknall | Counselor | 249 Chestnut Hill Rd, Norwalk, CT 06851-1412 | 2017-10-16 |
| 1619398740 | Maria La Mura La Mura Barker | Counselor | 55 Rowayton Ave, Norwalk, CT 06853 | 2013-12-16 |
| 1922344027 | Harvey Milton Weitzel | Counselor | 250 Wolfpit Ave, Norwalk, CT 06851-2647 | 2012-12-17 |
| 1710277520 | Jackie Lynn Fowler | Counselor | 12440 E. Firestone Blvd., Ste. 1000, Norwalk, CA 90650-4448 | 2011-04-13 |
| 1649507500 | Wendie F. Parsons-nuhn | Counselor | 85 Benedict Ave Ste 105a, Norwalk, OH 44857-2112 | 2009-11-12 |
| 1356550701 | Alan Emmett Bradley Jr. | Counselor | 9 Fair St, Norwalk, CT 06851-4509 | 2007-05-22 |
| 1346861747 | Clear Minds Coaching & Counseling | Counselor | 4 E Seminary St, Norwalk, OH 44857-2121 | 2020-04-27 |
| 1720541030 | Vincent Duong | Counselor | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-04-12 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.