GLENN R ANDERSON (NPI# 1770672362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770672362 |
| Entity Type | Individual |
| Full Name | GLENN R ANDERSON |
| Credential | MFTI |
| Practice Address |
614 Loretto Dr Roseville CA 95661 |
| Mailing Address |
5701 Lonetree Blvd Ste 208c Rocklin CA 95765-3794 |
| Practice Telephone | 9167224673 |
| Mailing Telephone | 9164770528 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 84277 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF 49658 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED MFT | 84277 | 01 |
| CA | MFTI | IMF 49658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639149925 | Glenn Anderson | Family Medicine | 9409 B Old Burke Lake Rd, Burke, VA 22015 | 2006-01-26 |
| 1588200539 | Glenn Taylor Anderson | Physical Therapist | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-11-25 |
| 1780710103 | Glenn Donald Anderson | Psychologist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2007-02-27 |
| 1750370102 | Glenn B. Anderson | Neurological Surgery | 13300 Hargrave Rd, Suite 390, Houston, TX 77070-4373 | 2005-10-18 |
| Street Address |
614 LORETTO DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1679184337 | Joy Light | Marriage & Family Therapist | 300 Harding Blvd Ste 211, Roseville, CA 95678-2473 | 2020-08-14 |
| 1366098725 | Julie Anna Keller | Marriage & Family Therapist | 700 Gibson Dr Apt 1713, Roseville, CA 95678-5762 | 2019-08-12 |
| 1376105593 | David Heitzler | Marriage & Family Therapist | 8150 Industrial Ave Bldg A, Roseville, CA 95678-5903 | 2019-07-08 |
| 1124592027 | Kristin Lynn Beebe | Marriage & Family Therapist | 17955 E 11 Mile Rd, Roseville, MI 48066-2942 | 2019-01-15 |
| 1952874752 | Andrea A Kelly | Marriage & Family Therapist | 1680 Stone Canyon Dr, Roseville, CA 95661-4041 | 2019-01-04 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1205315520 | Katherine I Brown | Marriage & Family Therapist | 720 Sunrise Ave Ste 212, Roseville, CA 95661-4516 | 2018-08-08 |
| 1073004396 | Samuel Henning | Marriage & Family Therapist | 3300 Douglas Blvd Ste 240, Roseville, CA 95661-4287 | 2018-05-22 |
| 1245739465 | Isaiah Hulme | Marriage & Family Therapist | 1100 Melody Ln Ste 218, Roseville, CA 95678-5207 | 2018-02-02 |
| Find all providers in ROSEVILLE | ||||
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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.