TERRY ANDERSON (NPI# 1538364740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | STATE LICENSE | 34003367A | 01 |
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 |
Street Address |
300 W WAYNE ST |
City | FORT WAYNE |
State | IN |
Zip Code | 46802-3608 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | FORT WAYNE |
Zip Code | 46802 |
Please comment or provide details below to improve the information on TERRY 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.