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SUSAN ELIZABETH ANDERSEN
NPI 1689565095
Counselor - Mental Health in Shelbyville, KY

Active since July 14, 2025PECOS Enrolled
138 ARDMORE CROSSING DR, SHELBYVILLE, KY 40065(502) 640-0369 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Elizabeth Andersen NPPES

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

SUSAN ELIZABETH ANDERSEN (NPI 1689565095) is an individual mental health provider in Shelbyville, Kentucky, licensed in Kentucky (256477) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689565095
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN ELIZABETH ANDERSEN
Location Address138 ARDMORE CROSSING DRShelbyville, KY 40065-6501
Mailing Address138 Ardmore Crossing DrShelbyville, KY 40065-6501 · (502) 640-0369
Phone(502) 640-0369
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1689565095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 256477
138 ARDMORE CROSSING DR, Shelbyville, KY 40065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Elizabeth Andersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759879653
PECOS Enrollment IDI20251022004135
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.

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 Susan Andersen's NPI number?

The NPI number for Susan Andersen is 1689565095. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Susan Andersen located?

Susan Andersen practices at 138 Ardmore Crossing Dr, Shelbyville, KY 40065. The listed phone number is (502) 640-0369.

What is Susan Andersen's specialty?

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

Is Susan Andersen enrolled in Medicare?

Yes. Susan Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Andersen was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.