Johnzelle Jeffrey Anderson, LPC
Counselor, Professional in Henrico, VA. Individual provider (NPI-1).
NPI number1962065649
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1962065649
- Entity type
- Individual (NPI-1)
- Name
- Mr. Johnzelle Jeffrey Anderson
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2019
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701008293 | VA | Yes |
| 101YM0800X | Counselor, Mental Health | 0701008293 | VA |
Practice location
3741 Westerre Pkwy Ste CHenrico, VA 23233-1327
Phone 804-205-4152 · Fax 804-304-5787
Mailing address
3741 Westerre Pkwy Ste CHenrico, VA 23233-1327
Phone 804-205-4152 · Fax 804-304-5787
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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