MARK OWEN ANDERSON (NPI# 1104329663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104329663 |
| Entity Type | Individual |
| Full Name | MARK OWEN ANDERSON |
| Practice Address |
1813 Sumner Ave Aberdeen WA 98520-4600 |
| Practice Telephone | 3605381461 |
| Mailing Telephone | 3605381461 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00003031 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326607383 | Mark Anderson | Massage Therapist | 1978 Addison Ave E, Twin Falls, ID 83301-5304 | 2019-06-12 |
| 1427403468 | Mark Anthony Anderson | Student in an Organized Health Care Education/Training Program | 157 E Rose St, Lebanon, OR 97355-4231 | 2016-04-27 |
| 1356732887 | Mark David Anderson | Licensed Practical Nurse | 227 Island Cottage Rd., Rochester, NY 14612-3627 | 2015-02-05 |
| 1134562903 | Mark William Anderson | Marriage & Family Therapist | 500 S. 580 W., Escalante, UT 84726 | 2013-04-11 |
| 1629334073 | Mark Gruen Anderson | Pharmacist | 2615 Eastern Ave, Plymouth, WI 53073-4270 | 2012-04-10 |
| 1629342928 | Mark Anderson | Social Worker | 140 Griggs Dr, Princeton, NJ 08540-7672 | 2012-03-05 |
| 1912271818 | Mark D Anderson | Licensed Practical Nurse | 4210 Wood Park Dr, Stow, OH 44224-2651 | 2012-02-24 |
| 1982905261 | Mark Alan Anderson | Pharmacist | 860 N Cleveland Ave, Loveland, CO 80537-4717 | 2010-11-03 |
| 1487822771 | Mark R Anderson | Counselor | 106 N Kenosha Dr, Madison, WI 53705-2633 | 2008-02-20 |
| 1174736953 | Mark Arthur Anderson | Specialist | 333 O'connor Dr, San Jose, CA 95128 | 2007-05-08 |
| Street Address |
1813 SUMNER AVE |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831251909 | Daniel Richard Overton | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2006-12-15 |
| 1871119842 | Luis A Herrera | Nurse Practitioner | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2020-06-24 |
| 1063079598 | Sea Mar Community Health Center | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2019-05-21 |
| 1841767126 | Jessica Marie Vessey | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2018-10-25 |
| 1265945679 | Sea-mar Community Health Center | Clinic/Center | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-11-07 |
| 1982132650 | Lauralee Peterson | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-05-25 |
| 1114450947 | Kassy Montgomery | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-04-08 |
| 1821445974 | Jamis Roose | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2016-05-18 |
| 1861858920 | Lori Tornquist | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2016-01-05 |
| 1730544453 | Raymon Robinette | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945319 | Roneisha Juleis Price | Counselor | 1357 Tralee Cir, Aberdeen, MD 21001-2643 | 2020-06-03 |
| 1669961207 | Jubilee Womack | Counselor | 1700 Cherry St, Aberdeen, WA 98520-3721 | 2018-05-09 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1023521127 | Action Counseling | Counselor | 914 E Wishkah St, Aberdeen, WA 98520-2917 | 2017-11-10 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1831613678 | Stephanie Lee Becker | Counselor | 516 E 1st St, Aberdeen, WA 98520-4106 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1104286160 | Chris Desilvestri | Counselor | 506 Laurie Ln, Aberdeen, NJ 07747-1501 | 2016-03-02 |
| 1063771558 | Robert Matthew Zendle | Counselor | 604 Westgate Rd, Aberdeen, MD 21001-1625 | 2012-05-03 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| Find all providers in ABERDEEN | ||||
Please comment or provide details below to improve the information on MARK OWEN ANDERSON.
| 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.