PAIGE ANDERSON
NPI 1235855164
Peer Specialist in Bixby, OK
Active since October 12, 2022
About Paige Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIGE ANDERSON (NPI 1235855164) is an individual peer specialist in Bixby, Oklahoma and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1235855164
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePAIGE ANDERSON
Location Address2379 E 140TH ST SBixby, OK 74008-4844
Mailing Address2379 E 140th St SBixby, OK 74008-4844 · (918) 752-8239
Phone(918) 752-8239
Sole ProprietorYes
Enumeration DateOctober 12, 2022
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1235855164 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
2379 E 140TH ST S, Bixby, OK 74008
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235855164, enumerated as an "individual" on October 12, 2022.
The provider is located at 2379 E 140TH ST S BIXBY, OK 74008 and the phone number is (918) 752-8239.
Peer Specialist with taxonomy code 175T00000X.
