SHERIDAN M ANDERSON M.A.
NPI 1265103675
Counselor - Mental Health in Eagan, MN

Active since September 24, 2021Opted out of Medicare · through Jan 5, 2028
3460 WASHINGTON DR STE 109, EAGAN, MN 55122(612) 440-2678 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheridan M Anderson M.a. NPPES

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

SHERIDAN M ANDERSON M.A. (NPI 1265103675) is an individual mental health provider in Eagan, Minnesota and active in the NPI registry since September 2021. She has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1265103675
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHERIDAN M ANDERSONCredential: M.A.
Location Address3460 WASHINGTON DR STE 109Eagan, MN 55122-4301
Mailing Address14007 Flagstone TrlApple Valley, MN 55124-3322 · (612) 499-1567
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 24, 2021
NPI 1265103675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3460 WASHINGTON DR STE 109, Eagan, MN 55122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Sheridan M Anderson M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2024 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2024
Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
3460 WASHINGTON DR STE 109
EAGAN, MN 55122
Clinic/Center (Mental Health (Including Community Mental Health Center))
3460 WASHINGTON DR STE 109
EAGAN, MN 55122
Counselor (Professional)
3460 WASHINGTON DR STE 109
EAGAN, MN 55122
Counselor (Mental Health)
3460 WASHINGTON DR STE 109
EAGAN, MN 55122
Counselor (Mental Health)
3460 WASHINGTON DR STE 109
EAGAN, MN 55122

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 Sheridan Anderson's NPI number?

The NPI number for Sheridan Anderson is 1265103675. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Sheridan Anderson located?

Sheridan Anderson practices at 3460 Washington Dr Ste 109, Eagan, MN 55122. The listed phone number is (612) 440-2678.

What is Sheridan Anderson's specialty?

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

Is Sheridan Anderson enrolled in Medicare?

No. Sheridan Anderson has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sheridan Anderson was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.