MR. JEREMY RUSSELL ANDERSON


Address: 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870
Phone: 8709336886

MR. JEREMY RUSSELL ANDERSON (NPI# 1003946369) 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) 1003946369
Entity Type Individual
Full Name MR. JEREMY RUSSELL ANDERSON
Credential LPC
Practice Address 1815 Pleasant Grove Road
Jonesboro
AR 72401-7870
Practice Telephone 8709336886
Practice Fax Number 8709339395
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2007-03-06
Last Update Date 2016-02-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
P1307080 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5WW07 01

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1043312176 Jeremy R Anderson Pharmacist 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 2006-09-01
1942262621 Jeremy Patrick Anderson Optometrist 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 2006-04-06
1649259680 Jeremy Paul Anderson Pharmacist 221 4th Ave Sw, Rochester, MN 55905-0014 2006-01-10
1063405256 Jeremy Wade Anderson Optometrist 1642 Mcarthur St, Manchester, TN 37355-2522 2005-08-24
1144714296 Jeremy Anderson Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Slc, UT 84148-0001 2018-06-20
1982196606 Jeremy Anderson Counselor 110 Boston St, Salem, MA 01970-1402 2018-05-30

Office Location

Street Address 1815 PLEASANT GROVE ROAD
City JONESBORO
State AR
Zip Code 72401-7870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770535569 Families, Inc of Arkansas Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72401 2006-05-17
1265050512 Rossie Goolsby Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-07-13
1922634161 Steven Austin Harmon Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1225664469 David Jake Emery Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1740836030 Shonna Marie Arnold Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-08-13
1003468380 Kiara Danyel Griffin Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-07-16
1942720669 Ashley Michelle Puckett Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72404 2017-06-23
1477081669 Shawn Michael Canty Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72401 2017-06-01
1205376209 Laura Harmon Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2017-02-24
1164964656 Amy Renee Williams Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72404 2016-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083221931 Smith Counseling Center Counselor 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 2020-09-24
1548895667 The Practice: Therapeutic Counseling Services Counselor 1407 Marketplace Dr Ste 2, Jonesboro, AR 72401-5271 2020-03-09
1235769332 Hilde Nicole White Counselor 3707 Harrisburg Rd, Jonesboro, AR 72404-8463 2020-01-17
1750929196 Finetra Chambers Counselor 194 Jonesboro Rd Ste A7, Jonesboro, GA 30236-2401 2019-12-17
1881245942 Business Management Consultants, LLC Counselor 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236-1255 2019-09-20
1275181216 Nc Counseling Services, Pllc Counselor 2917 King St Ste Cd, Jonesboro, AR 72401-5322 2019-09-03
1730642588 Camille Jewel Rowe Counselor 9339 Basswood Way, Jonesboro, GA 30236-6194 2019-04-09
1083185656 Pia Bhatti Counselor 560 Highway 138 W, Jonesboro, GA 30238-2222 2018-12-07
1609342310 Kasandra Haynes Counselor 4217 Oakhill Ln, Jonesboro, AR 72401-8806 2018-10-19
1730616798 The Mentalists Group LLC Counselor 124 S Main St Ste 2d, Jonesboro, GA 30236-3502 2017-05-20
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Competitor

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City JONESBORO
Zip Code 72401

Improve Information

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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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