ANDERSON THOMAS (NPI# 1285955997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285955997 |
| Entity Type | Individual |
| Full Name | ANDERSON THOMAS |
| Credential | LPCC |
| Practice Address |
15 Behavioral Health Road Pine Hill NM 87357-0004 |
| Mailing Address |
Box 07 Bia 140 Pine Hill NM 87357 |
| Practice Telephone | 5057753353 |
| Practice Fax Number | 5057753630 |
| Mailing Telephone | 5057753353 |
| Mailing Fax Number | 5057753630 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0132611 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 0005587 | 05 |
| Street Address |
15 BEHAVIORAL HEALTH ROAD |
| City | PINE HILL |
| State | NM |
| Zip Code | 87357-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996031 | Siamak Mollaei | Pharmacist | Bureau of Indian Affair Route 125, Pinehill, NM 87357 | 2020-06-11 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1285286419 | Myeshia La'tway Carroll | Nurse Practitioner | Indian Service Rte 140 & Indian Service Rte 125, Pine Hill, NM 87357 | 2019-07-09 |
| 1659735140 | Jennifer John Charley | Counselor | 15 Behavioral Health Rd, Pinehill, NM 87357 | 2016-04-11 |
| 1639421001 | Vicki Andrea Winter | Pharmacist | Bia Route 140, Pinehill, NM 87357 | 2012-10-10 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1306047527 | Michael John Nolan | Physician Assistant | 310 Pine Hill, Pine Hill, NM 87357 | 2007-05-29 |
| 1649488255 | Ivan John Christov Nicolov | Family Medicine | Bia Rte 125, Pine Hill, NM 87357 | 2007-05-18 |
| 1316066244 | Jill Sanders | Pharmacist | 125 Bia Route, Pine Hill Health Center, Pine Hill, NM 87357 | 2007-03-29 |
| 1073671194 | Pine Hill Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Bia Rt 125, Pine Hill, NM 87357 | 2006-12-04 |
| Find all providers in zip 87357 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955656 | Risa Kimbrough | Counselor | 350 Blackwood Clementon Rd, Apt 702, Pine Hill, NJ 08021-5243 | 2016-11-30 |
| 1346792074 | Heart 2 Heart Services | Counselor | 304 Mason Run, Pine Hill, NJ 08021-6853 | 2016-10-28 |
| 1063962546 | Bevon Orlando Barker | Counselor | 1906 Bromley Est, Pine Hill, NJ 08021-6429 | 2016-10-10 |
| 1033566229 | Amber Collazo | Counselor | 228 Blackwood Clementon Road, Apt 224, Pine Hill, NJ 08021 | 2016-05-18 |
| 1215301387 | Jason Giansanti | Counselor | 77 Millstream Rd, Pine Hill, NJ 08021-6447 | 2015-11-30 |
| 1043693351 | Leilani Townsend | Counselor | 207 Branch Rd., Pine Hill, NJ 08021 | 2015-07-06 |
| 1225438302 | Jessica St Jean | Counselor | 320 W Branch Ave, Apt 16f, Pine Hill, NJ 08021-6051 | 2014-08-26 |
| 1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
| 1487069365 | Erica Thomas | Counselor | 205 Branch Avenue, Pine Hill, NJ 08021 | 2014-06-30 |
| 1265929178 | Nikki Price | Counselor | 77 Millstream Rd, Pine Hill, NJ 08021-6447 | 2018-04-16 |
| Find all providers in PINE HILL | ||||
Please comment or provide details below to improve the information on ANDERSON THOMAS.
| 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.