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KEVIN JOSEPH ANDERSON
NPI 1134556624
Counselor in Roxbury, MA

Active since September 30, 2013
520 DUDLEY ST, ROXBURY, MA 02119(508) 208-4656 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin Joseph Anderson NPPES

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

KEVIN JOSEPH ANDERSON (NPI 1134556624) is an individual counselor in Roxbury, Massachusetts, licensed in Massachusetts (S40107772) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1134556624
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN JOSEPH ANDERSON
Location Address520 DUDLEY STRoxbury, MA 02119-2769
Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 445-6655
Phone(508) 208-4656
Sole ProprietorYes
Enumeration DateSeptember 30, 2013
Last NPPES UpdateNovember 15, 2013
✔ NPI 1134556624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MA · S40107772
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
520 DUDLEY ST, Roxbury, MA 02119
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Other Identifiers 8

Other1004745MA · Nhp
OtherM18633MA · Bcbs
Other1303287MA · Mbhp
Other99618201MA · Networth Health
Other042611055MA · Tax Id
Medicaid1303287MA
Other0000023532MA · Bmc
Medicare PINY10074

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.

MS. EBONEE TROUP BS
Social Worker (Clinical)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 690-9701
LAKEYSHA EGLESTON
Case Manager/Care Coordinator
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJA JAMES-HUGHES
Community Health Worker
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (774) 297-7277
MARISA MEDEIROS DASILVA MSW
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (978) 505-6286
DOUGLAS BENTON
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 602-7869
UJU ILECHUKWU
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJANAY HUGHES PEARSON
Counselor (Mental Health)
520 DUDLEY ST
BOSTON, MA 02119
Suffolk County (857) 399-3390
YUKA HAYASHI
Student in an Organized Health Care Education/Training Program
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (857) 919-7922

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 Kevin Anderson's NPI number?

The NPI number for Kevin Anderson is 1134556624. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Where is Kevin Anderson located?

Kevin Anderson practices at 520 Dudley St, Roxbury, MA 02119. The listed phone number is (508) 208-4656.

What is Kevin Anderson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Anderson was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.