MS. MARY ELIZABETH ANDERSON (NPI# 1588878920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588878920 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH ANDERSON |
| Credential | MA, LMFT |
| Practice Address |
4966 W Black Stallion Dr Prescott AZ 86305-4569 |
| Mailing Address |
Po Box 10686 Prescott AZ 86304-0686 |
| Practice Telephone | 9287786719 |
| Practice Fax Number | 9287786717 |
| Mailing Telephone | 9287786719 |
| Mailing Fax Number | 9287786717 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 10014 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1437767365 | Mary Anderson | Speech-Language Pathologist | 2400 S Cimarron Rd Ste 110, Las Vegas, NV 89117-7902 | 2020-07-16 |
| 1902452543 | Mary Helen Anderson | Counselor | 195 Montague St Fl 14, Brooklyn, NY 11201-3631 | 2019-08-09 |
| 1386151207 | Mary Anderson | Nurse Practitioner | 2002 Knight St, Helena, MT 59601-1562 | 2017-12-30 |
| 1952810426 | Mary Anderson | Counselor | 140 Iowa Ln Ste 201, Cary, NC 27511-4495 | 2017-09-27 |
| 1174053292 | Mary Fontenot Anderson | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd. Ste 200, Metairie, LA 70006 | 2017-06-13 |
| 1265979637 | Mary Anderson | Occupational Therapist | 4590 Halkirk Ct, Palm Harbor, FL 34685-2639 | 2017-01-24 |
| 1083002539 | Mary Ellen Anderson | Registered Nurse | 3 Hook Rd Unit 41b, Poughkeepsie, NY 12601-7308 | 2015-01-07 |
| 1902225873 | Mary Anderson | Nurse's Aide | 3824 Beehler Ave, Baltimore, MD 21215-5506 | 2014-04-08 |
| 1659795383 | Mary Anderson | Physician Assistant | 1721 Medical Blvd Ste D, Findlay, OH 45840-1354 | 2014-02-18 |
| Street Address |
4966 W BLACK STALLION DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1114460540 | Sherrina Johnson | Marriage & Family Therapist | 1086 E Wagon Wheel Dr, Prescott, AZ 86303-8236 | 2016-12-03 |
| 1477797504 | Lee E Geldmacher | Marriage & Family Therapist | 510 E. Moeller St., Prescott, AZ 86301 | 2009-04-20 |
| 1710137633 | Tony John Himes | Marriage & Family Therapist | 525 E Willis St, Prescott, AZ 86301-3141 | 2008-09-27 |
| 1770660326 | Elizabeth A. Dahlmeier-sousa | Marriage & Family Therapist | 143 N Mccormick St Ste 204, Prescott, AZ 86301-2726 | 2006-11-01 |
| 1508223892 | Stephanie Rosebaugh | Marriage & Family Therapist | 1129 W Iron Springs Rd, Prescott, AZ 86305-1623 | 2016-01-18 |
| 1699153395 | Kyle Rosebaugh | Marriage & Family Therapist | 1129 W Iron Springs Rd, Prescott, AZ 86305-1623 | 2015-05-13 |
| 1497090245 | Laura A Crimmins | Marriage & Family Therapist | 711 Whipple St, Prescott, AZ 86301-1717 | 2012-12-05 |
| 1396928107 | Marion Elizabeth Anderson | Marriage & Family Therapist | 812 Valley St, Prescott, AZ 86305-1826 | 2007-12-14 |
| 1477746097 | Alena Steed | Marriage & Family Therapist | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-08-27 |
| 1346466422 | Laurie Alice Tetreault | Marriage & Family Therapist | 240 S Montezuma St, Ste. 104, Prescott, AZ 86303-4712 | 2007-04-18 |
| Find all providers in PRESCOTT | ||||
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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.