ANDERSON THERAPY GROUP PLLC (NPI# 1548892672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548892672 |
| Entity Type | Organization |
| Organization Name | ANDERSON THERAPY GROUP PLLC |
| Practice Address |
104 W 4th St Ste 103 Aberdeen WA 98520-3932 |
| Mailing Address |
Po Box 558 Cosmopolis WA 98537-0558 |
| Practice Telephone | 3606120456 |
| Mailing Telephone | 3606120411 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | DR. AMANDA N ANDERSON (OWNER) |
| Authorized Official Telephone | 3605001704 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Anderson Therapy Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ANDERSON THERAPY GROUP PLLC | 904 Altenau St, Cosmopolis, WA 98537 |
| Street Address |
104 W 4TH ST STE 103 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-3932 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559313 | Serenity Family Counseling, LLC | Marriage & Family Therapist | 1502 American Way, Aberdeen, MD 21001-1289 | 2019-07-03 |
| 1437377694 | Jean Walters Gayle | Marriage & Family Therapist | 7403 Blaine Rd, Aberdeen, WA 98520-7409 | 2007-04-23 |
| 1043680416 | Sandra Hall | Marriage & Family Therapist | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2015-09-29 |
| 1013229020 | Jack W Dutro | Marriage & Family Therapist | 1210 Madison St, Aberdeen, WA 98520-2838 | 2010-07-07 |
| 1386847259 | Christina M Holland | Marriage & Family Therapist | 1812 Sumner Ave, Aberdeen, WA 98520-4602 | 2007-06-07 |
| 1730306580 | Carol Chace Spelman | Marriage & Family Therapist | 135 N Parke St, Aberdeen, MD 21001-2428 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881564 | Adapt To Growth Therapy, Pllc | Marriage & Family Therapist | 406 Main St Ste 102a, Edmonds, WA 98020-3166 | 2020-11-06 |
| 1932707890 | Danesha Deloatch | Marriage & Family Therapist | 1004 Commercial Ave # 2024, Anacortes, WA 98221-4117 | 2020-10-13 |
| 1184230500 | Jeanne Marie Jankus | Marriage & Family Therapist | 16710 Smokey Point Blvd Ste 306, Arlington, WA 98223-8435 | 2020-09-21 |
| 1497365969 | Nicole Susanne Ruttenberg | Marriage & Family Therapist | 17129 32nd Ave Ne, Lake Forest Park, WA 98155-5323 | 2020-08-08 |
| 1801406210 | Carlon R Ryan | Marriage & Family Therapist | 11521 122nd Ave Nw, Gig Harbor, WA 98329-5848 | 2020-07-31 |
| 1407465404 | Kalila Marie Griffin | Marriage & Family Therapist | 15 S Grady Way Ste 214, Renton, WA 98057-3220 | 2020-07-26 |
| 1790394823 | Shazia Shafaat | Marriage & Family Therapist | 13811 56th Dr Se, Everett, WA 98208-9464 | 2020-07-24 |
| 1568070845 | Claudia Graciela Johnson | Marriage & Family Therapist | 2717 Western Ave Apt 5002, Seattle, WA 98121-1162 | 2020-07-22 |
| 1841808714 | Angelina Louise Charlotte Thomson | Marriage & Family Therapist | 75 Nw Dogwood St Ste B, Issaquah, WA 98027-3258 | 2020-07-16 |
| 1831712736 | Robert Teister | Marriage & Family Therapist | 29617 156th Ave E, Graham, WA 98338-7441 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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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.