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ANDREW BUBBA ANDERSON
NPI 1073140711
Counselor - Mental Health in Springfield, OR

Active since March 24, 2020
3825 INTERNATIONAL CT, SPRINGFIELD, OR 97477(541) 858-8170(541) 858-8167 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Mar 24, 2020 (2 updates tracked since 2020).

About Andrew Bubba Anderson NPPES

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

ANDREW BUBBA ANDERSON (NPI 1073140711) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1073140711
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW BUBBA ANDERSON
Location Address3825 INTERNATIONAL CTSpringfield, OR 97477-1086
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 858-8170
Fax(541) 858-8167
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1073140711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3825 INTERNATIONAL CT, Springfield, OR 97477
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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.

MAUREEN MARY ROSENBERGER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
KAITLYN KATHRYN HENNER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
MONICA JEAN ALLEN
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
SAWYER CORSON
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
ETHAN DEGHELDER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
CHELSEA LEANN ROBERTSON
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
RENAE SHOEMAKER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
HALEY DENISE WILLIS
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170

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 Andrew Anderson's NPI number?

The NPI number for Andrew Anderson is 1073140711. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Andrew Anderson located?

Andrew Anderson practices at 3825 International Ct, Springfield, OR 97477. The listed phone number is (541) 858-8170.

What is Andrew 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 Andrew Anderson was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.