KERI JEAN ANDERSON (NPI# 1962921130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962921130 |
| Entity Type | Individual |
| Full Name | KERI JEAN ANDERSON |
| Credential | CADC, CPGC, CPGC-S |
| Practice Address |
3852 Palos Verdes St Las Vegas NV 89119-6909 |
| Mailing Address |
635 Avenue H Boulder City NV 89005-2725 |
| Practice Telephone | 7024851300 |
| Practice Fax Number | 7024851210 |
| Mailing Telephone | 7024992667 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0285 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598281354 | Keri Marie Anderson | Social Worker | 77 Mill St Ste 139, Westfield, MA 01085-4598 | 2017-08-14 |
| 1952638678 | Keri Anderson | Counselor | 10500 Ne 113th Ave, Vancouver, WA 98662-3332 | 2009-11-17 |
| 1992147797 | Keri Ann Anderson | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2013-07-22 |
| 1588945190 | Keri C Anderson | Pharmacist | 709 Mall Blvd, Savannah, GA 31406-4805 | 2011-09-09 |
| Street Address |
3852 PALOS VERDES ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932511698 | Freedom House Sober Living Inc | Substance Abuse Rehabilitation Facility | 3852 Palos Verdes St, Suite 40, Las Vegas, NV 89119-6909 | 2014-05-28 |
| 1710545298 | Catherine Contreras | Counselor | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2019-05-30 |
| 1790281442 | Jessika Lin Smith | Counselor | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2018-04-02 |
| 1962912097 | Donovan Scott Allison | Behavior Technician | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-10-03 |
| 1447769781 | Oscar Castillo | Behavior Technician | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-09-28 |
| 1659880185 | Richard Roy Crider | Behavior Technician | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-09-27 |
| 1376052118 | Craig Joseph Sausman | Case Manager/Care Coordinator | 3852 Palos Verdes St, Las Vegas, NV 89119 | 2017-09-25 |
| 1912416967 | Dain Kenneth Rixey | Case Manager/Care Coordinator | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-09-21 |
| 1992214951 | Donnell Anthony | Case Manager/Care Coordinator | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-09-21 |
| 1386163509 | Lauren Ream | Counselor | 3852 Palos Verdes St, Las Vegas, NV 89119-6909 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200723 | Bauza Neuropsychiatry Center LLC | Counselor | 4268 Roanridge Ave, Las Vegas, NV 89120-2113 | 2020-09-16 |
| 1306451711 | Crest Healthcare Inc. | Counselor | 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 | 2020-09-11 |
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| 1134754120 | Shelley Denise Sargent | Counselor | 10593 Harvest Green Way, Las Vegas, NV 89135-1245 | 2020-03-10 |
| 1720610637 | Dsa Technoligies LLC | Counselor | 9504 City Hill Ct, Las Vegas, NV 89134-1711 | 2020-02-08 |
| 1811532781 | Melanie Fedraw | Counselor | 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 | 2019-11-14 |
| 1457906729 | Elizabeth Ann Morris | Counselor | 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 | 2019-08-05 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| Find all providers in LAS VEGAS | ||||
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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.