TERRY ANDERSON


Address: 300 W Wayne St, Fort Wayne, IN 46802-3608
Phone: 2604228556

TERRY ANDERSON (NPI# 1538364740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538364740
Entity Type Individual
Full Name TERRY ANDERSON
Credential MA, MSW, DMIN, LCSW
Practice Address 300 W Wayne St
Fort Wayne
IN 46802-3608
Practice Telephone 2604228556
Practice Fax Number 2604228558
Mailing Telephone 2604228556
Mailing Fax Number 2604228558
Enumeration Date 2007-06-18
Last Update Date 2007-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
34003367A IN Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE 34003367A 01

Other Providers TERRY ANDERSON

NPI Name Taxonomy Address Enumeration
1790262566 Terry Anderson Hearing Instrument Specialist 2248 Central Dr Ste 113, Bedford, TX 76021-5879 2018-07-25
1821175928 Terry L Anderson Dentist 111 W Wesley St, Suite 3, Wheaton, IL 60187-5136 2006-11-01
1528097102 Terry J. Anderson Physician Assistant 100 Shc Drive Byui, Rexburg, ID 83460-2010 2006-07-03
1093995474 Terry Leigh Anderson Massage Therapist 853 Main St, Suite C, Safety Harbor, FL 34695-3556 2007-11-14
1649480260 Terry Anderson Counselor 2500 Rike Dr, Pine Bluff, AR 71603-3937 2007-05-23
1902923659 Terry Dawn Anderson Physical Therapy Assistant 723 Summers St, Parkersburg, WV 26101-6022 2007-03-26
1912085705 Terry J. Anderson Internal Medicine 275 W Macarthur, Oakland, CA 94611-5641 2006-11-01
1770592891 Terry M Anderson Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2006-08-07
1154379634 Terry D Anderson Anesthesiology 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213-1324 2006-05-05
1285682252 Terry A Anderson Clinical Nurse Specialist 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 2006-05-04

Office Location

Street Address 300 W WAYNE ST
City FORT WAYNE
State IN
Zip Code 46802-3608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568518785 Victor Frederick Kolch Counselor 300 W Wayne St, Fort Wayne, IN 46802-3608 2007-01-29
1821294265 The Samaritan Centers of Northeast Indiana, Inc Counselor 300 W Wayne St, Suite 305, Fort Wayne, IN 46802-3608 2007-06-22
1275679391 James A. Dance Counselor 300 W Wayne St, Fort Wayne, IN 46802-3608 2007-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
Find all providers in zip 46802

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114401080 Robin Gene Vandeventer Counselor 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 2018-09-18
1023544533 Emily Martin Counselor 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-6832 2017-05-03
1467995035 Heather Sue Bleeke Counselor 830 Ivy Creek Cv, Fort Wayne, IN 46804-3581 2016-11-29
1437604014 Donald Luedke Counselor 427 W Washington Blvd, Fort Wayne, IN 46802-2915 2016-08-24
1306208400 Tracy Cain Counselor 431 Fairmont Place, Fort Wayne, IN 46808-1116 2016-03-28
1144600982 Megan Kostrubanic Counselor 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN 46805-3139 2015-06-07
1336579754 Interdisciplinary Community Autism Network, Inc Counselor 409 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3600 2013-11-21
1477823151 Gregory Wayne Isch Counselor 7230 Engle Rd Ste 305, Fort Wayne, IN 46804 2012-01-11
1710120753 Sandra Thomas Counselor 5440 Thornbriar Ln, Fort Wayne, IN 46835-3886 2009-04-07
1508034091 John Patrick Nolan Counselor 6015 Dichotomy Ct, Fort Wayne, IN 46835-2063 2008-02-18
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46802

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Dataset Information

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.

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