TISHA ANDERSON
NPI 1972969814
Counselor in Dekalb, IL

Active since January 07, 2016PECOS Enrolled
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875(815) 756-2944 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tisha Anderson NPPES

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

TISHA ANDERSON (NPI 1972969814) is an individual counselor in Dekalb, Illinois and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972969814
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTISHA ANDERSON
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing Address12 Health Services DrDekalb, IL 60115-9637 · (815) 756-4875 · Fax (815) 756-2944
Fax(815) 756-2944
Sole ProprietorNo
Enumeration DateJanuary 7, 2016
NPI 1972969814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 2488174 (IL)
Also ListedSocial WorkerTaxonomy 104100000X
12 HEALTH SERVICES DR, Dekalb, IL 60115

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tisha Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115

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 Tisha Anderson's NPI number?

The NPI number for Tisha Anderson is 1972969814. It was assigned to this individual provider in the NPPES registry on January 7, 2016.

Where is Tisha Anderson located?

Tisha Anderson practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Tisha Anderson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tisha Anderson enrolled in Medicare?

Yes. Tisha Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Tisha Anderson accept?

Health plans from Quartz list Tisha Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tisha Anderson was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.