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TINA ANN ANDERSON
NPI 1639772080
Peer Specialist in Rock Island, IL

Active since November 18, 2020
2200 3RD AVE, ROCK ISLAND, IL 61201(309) 779-7500(309) 779-7505 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Nov 18, 2020 (2 updates tracked since 2020).

About Tina Ann Anderson NPPES

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

TINA ANN ANDERSON (NPI 1639772080) is an individual peer specialist in Rock Island, Illinois and active in the NPI registry since November 2020. She maintains a secondary practice location in Rock Island.

NPPES Registry Identity

NPI1639772080
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTINA ANN ANDERSON
Location Address2200 3RD AVERock Island, IL 61201-8840
Mailing Address3412 6th AveRock Island, IL 61201-2010 · (630) 946-4999 · Fax (309) 779-7505
Phone(309) 779-7500
Fax(309) 779-7505
Sole ProprietorNo
Enumeration DateNovember 18, 2020
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1639772080 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 ListedSpecialist/Technologist, OtherTaxonomy 246Z00000X
2200 3RD AVE, Rock Island, IL 61201
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Secondary Practice Location 1

Location 12701 17th StRock Island, IL 61201-5393 · Phone (309) 779-7500 · Fax (309) 779-7505

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.

CHEYENNE TYLER
Counselor
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2064
JESSE DRIVER JR.
Social Worker (Clinical)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Community Health)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2094
BETH ANN ELLIOTT QMHP
Counselor (Mental Health)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3000
TREVOR FEURT
Social Worker
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 382-8017
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2094
JOANNA SALLOWS-HINES
Social Worker
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2428

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 Tina Anderson's NPI number?

The NPI number for Tina Anderson is 1639772080. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Tina Anderson located?

Tina Anderson practices at 2200 3rd Ave, Rock Island, IL 61201. The listed phone number is (309) 779-7500.

What is Tina Anderson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tina Anderson was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.