MR. RULONDO TEHRAN ANDERSON SR. MA, LPC
NPI 1356577308
Counselor - Professional in Charlotte, NC

Q: What is Rulondo Anderson's NPI number?

The NPI number for Rulondo Anderson is 1356577308. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Q: What is Rulondo Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Rulondo Anderson was last updated on February 22, 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.

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment

1923 J N PEASE PL STE 104, CHARLOTTE, NC 28262(704) 252-4381(866) 309-6385 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Rulondo Tehran Anderson Sr. Ma, Lpc NPPES

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

MR. RULONDO TEHRAN ANDERSON SR. MA, LPC (NPI 1356577308) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (S9371) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356577308

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. RULONDO TEHRAN ANDERSON SR.Credential: MA, LPC

Location Address1923 J N PEASE PL STE 104Charlotte, NC 28262-4534

Mailing Address2013 Beechmont StHarrisburg, NC 28075-8365 · (704) 252-4381 · Fax (866) 309-6385

Phone(704) 252-4381

Fax(866) 309-6385

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJune 4, 2009

Last NPPES UpdateFebruary 22, 2021

NPPES CertifiedFebruary 22, 2021

✔ NPI 1356577308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · S9371✔ Licensed in NC · 9371

1923 J N PEASE PL STE 104, Charlotte, NC 28262

Open in Google Maps ↗

Secondary Practice Location 1

Location 12315 E Wt Harris Blvd Ste 102Charlotte, NC 28213-5133 · Phone (704) 208-4458 · Fax (866) 309-6385

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rulondo Tehran Anderson Sr. Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113363003

PECOS Enrollment IDI20240314000458

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

MS. CHIMERE DANIELLE NEAL LCSW

Social Worker (Clinical)