Mr Jeremy Russell Anderson, LPC in Jonesboro, AR - Counselor

Mr Jeremy Russell Anderson, LPC is a Counselor - Mental Health based in Jonesboro, Arkansas. Mr Jeremy Russell Anderson is licensed to practice in Arkansas (license number P1307080) and his current practice location is 1815 Pleasant Grove Road, Jonesboro, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 933-6886.

NPI number for Mr Jeremy Russell Anderson is 1003946369 and his current mailing address is 1815 Pleasant Grove Road, Jonesboro, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003946369.

Contact Information

	Mr Jeremy Russell Anderson, LPC
	1815 Pleasant Grove Road, Jonesboro, AR 72401-7870
	(870) 933-6886
	(870) 933-9395

Healthcare Provider's Profile

Full Name	Mr Jeremy Russell Anderson
Gender	Male
Speciality	Counselor - Mental Health
Location	1815 Pleasant Grove Road, Jonesboro, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003946369
Provider Enumeration Date: 03/06/2007
Last Update Date: 02/12/2016

Medical Identifiers

Medical identifiers for Mr Jeremy Russell Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003946369	NPI	-	NPPES
5WW07	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P1307080 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Russell Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jeremy Russell Anderson, LPC 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870 Ph: (870) 933-6886	Mr Jeremy Russell Anderson, LPC 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870 Ph: (870) 933-6886

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Counselor in Jonesboro, AR

Trebor Wellington Bosley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395
Shelena White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4080 Fax: 870-972-4905
Kiara Danyel Griffin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395
Bethany Batchelor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2200 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-1268 Fax: 870-934-0847
Mrs. Heather Renee Parker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911
Mrs. Jamie F. Fain, CADC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3308 Redwood Cv, Jonesboro, AR 72404 Phone: 870-219-3606

Mr Jeremy Russell Anderson, LPC - Counselor in Jonesboro, AR