John Andersen, LMFT
Marriage & Family Therapist in El Dorado Hills, CA. Individual provider (NPI-1).
NPI number1508323866
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1508323866
- Entity type
- Individual (NPI-1)
- Name
- John Andersen
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2019
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Mar 30, 2026 to Mar 30, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 107436 | CA | Yes |
Practice location
5000 Windplay Dr Ste 1El Dorado Hills, CA 95762-9319
Phone 916-583-8505
Mailing address
2222 Francisco Dr Ste 220-268El Dorado Hills, CA 95762-3762
Phone 916-583-8505
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 68 Marriage & Family Therapist providers in El Dorado Hills · All 1,303 providers in El Dorado Hills
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