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MRS. LARA NICOLE ANDERSON
NPI 1366307860
Counselor in San Diego, CA

Active since December 17, 2025
11590 W BERNARDO CT STE 120, SAN DIEGO, CA 92127(619) 733-6414 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lara Nicole Anderson NPPES

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

MRS. LARA NICOLE ANDERSON (NPI 1366307860) is an individual counselor in San Diego, California, licensed in California (APCC21210) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1366307860
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. LARA NICOLE ANDERSON
Location Address11590 W BERNARDO CT STE 120San Diego, CA 92127-1624
Mailing Address12766 Shadowline StPoway, CA 92064-6416
Phone(619) 733-6414
Sole ProprietorYes
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1366307860 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 CA · APCC21210
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.
11590 W BERNARDO CT STE 120, San Diego, CA 92127
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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.

DOMINIQUE MARIE-THERESE ROSENTHAL
Marriage & Family Therapist
11590 W BERNARDO CT STE 120
SAN DIEGO, CA 92127
San Diego County (858) 863-6380
KERA WILSON APCC
Counselor (Mental Health)
11590 W BERNARDO CT STE 120
SAN DIEGO, CA 92127
San Diego County (619) 733-6414
BAILEY GREENE
Social Worker (Clinical)
11590 W BERNARDO CT STE 120
SAN DIEGO, CA 92127
San Diego County (619) 733-6414
JANETTE VALVERDE
Marriage & Family Therapist
11590 W BERNARDO CT STE 120
SAN DIEGO, CA 92127
San Diego County (858) 215-3389
JANE E SMITH APCC
Counselor (Professional)
11590 W BERNARDO CT STE 120
SAN DIEGO, CA 92127
San Diego County (619) 733-6414

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 Lara Anderson's NPI number?

The NPI number for Lara Anderson is 1366307860. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Lara Anderson located?

Lara Anderson practices at 11590 W Bernardo Ct Ste 120, San Diego, CA 92127. The listed phone number is (619) 733-6414.

What is Lara 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 Lara Anderson was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.