1. Home
  2. Directory
  3. Minnesota
  4. Grand Rapids
  5. Counselor
  6. NPI Profile

MARK W. ANDERSON LADC
NPI 1225215122
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MN

Active since January 23, 2008
1215 SE 7TH AVE, GRAND RAPIDS, MN 55744(218) 327-1105 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark W. Anderson Ladc NPPES

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

MARK W. ANDERSON LADC (NPI 1225215122) is an individual addiction (substance use disorder) provider in Grand Rapids, Minnesota, licensed in Minnesota (302045) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1225215122
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK W. ANDERSONCredential: LADC
Location Address1215 SE 7TH AVEGrand Rapids, MN 55744-4201
Mailing Address1215 Se 7th AveGrand Rapids, MN 55744-4201
Phone(218) 327-1105
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
✔ NPI 1225215122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302045
1215 SE 7TH AVE, Grand Rapids, MN 55744
Open in Google Maps ↗

Other Identifiers 3

Other1021875MN · Preferred One
Other84-10374MN · Ubh
Other8199PNOMS · Bcbs

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.

AVRIELLE JEWEL SCHNEIDER LADC
Psychologist (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
HAYLEE GARSOW LADC, LSW
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1328
COLLEEN MACKAY LADC
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1315
BRUCE HAAG LADC
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
NORTHLAND COUNSELING CENTER, INC.
Substance Abuse Rehabilitation Facility
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
KATHERINE MOSTOLLER
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 322-6126
LAURA ROY
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1312
DANIEL JOSEPH STRECKER
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1320

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 Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1225215122. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Mark Anderson located?

Mark Anderson practices at 1215 SE 7th Ave, Grand Rapids, MN 55744. The listed phone number is (218) 327-1105.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.