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MR. CORNELL WILLARD ANDERSON M.A.
NPI 1063786234
Counselor - Mental Health in Puyallup, WA

Active since March 05, 2012
325 E PIONEER AVE, PUYALLUP, WA 98372(253) 697-8400(253) 697-3730 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2020, Dec 16, 2019, Jun 1, 2017 (3 updates tracked since 2017).

About Mr. Cornell Willard Anderson M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CORNELL WILLARD ANDERSON M.A. (NPI 1063786234) is an individual mental health provider in Puyallup, Washington, licensed in Washington (LH61019298) and active in the NPI registry since March 2012. He maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1063786234
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CORNELL WILLARD ANDERSONCredential: M.A.
Location Address325 E PIONEER AVEPuyallup, WA 98372
Mailing Address325 E Pioneer AvePuyallup, WA 98372 · (253) 697-8400 · Fax (253) 697-3730
Phone(253) 697-8400
Fax(253) 697-3730
Sole ProprietorNo
Enumeration DateMarch 5, 2012
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1063786234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61019298
325 E PIONEER AVE, Puyallup, WA 98372
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Secondary Practice Location 1

Location 19330 59th Ave SWLakewood, WA 98499-2858 · Phone (253) 606-5289 · Fax (253) 301-3296

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASHAUN A RENGGLI
Counselor (Mental Health)
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8400
LAUREL M HOLDEN
Counselor (Mental Health)
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8400
MICHAEL A PINATIELLO
Counselor (Mental Health)
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8400
MELISSA D ROMANS
Counselor (Mental Health)
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8400
ALFREDO GUERRERO
Licensed Practical Nurse
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8548
SHANNA L KINZEL
Counselor
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8548
LAURA DAE JOHNSON BS
Counselor
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8400
MARJORIE LYNCH
Counselor
325 E PIONEER AVE
PUYALLUP, WA 98372
Pierce County (253) 697-8548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornell Anderson's NPI number?

The NPI number for Cornell Anderson is 1063786234. It was assigned to this individual provider in the NPPES registry on March 5, 2012.

Where is Cornell Anderson located?

Cornell Anderson practices at 325 E Pioneer Ave, Puyallup, WA 98372. The listed phone number is (253) 697-8400.

What is Cornell Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cornell Anderson was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.