Amy Anderson, M.ED LPC, LADC
NPI 1104174994ActiveIndividual· Counselor, Professional· Stillwater, OK
Counselor, Professional (M.ED LPC, LADC) with Talkspace Provider Network PA, practicing in Stillwater, Oklahoma. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1104174994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED LPC, LADC |
| Sole proprietor | Yes |
| NPI issued | Aug 27, 2012 |
| Last updated in NPPES | Feb 13, 2024 |
| Certified by provider | Feb 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5332 | OK |
| Counselor | 101Y00000X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ); Practitioner - Mental Health Counselor (FL); Practitioner - Mental Health Counselor (OK); Practitioner - Mental Health Counselor (VT) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Talkspace Provider Network PADelray Beach, FL · 244 clinicians
Other Counselor, Professional providers in Stillwater
- 1487880654
- 1235969007
- 1063813392
- 1861706822
- 1053641357
- 1710166350
- 1659227825
- 1295003275
- 1306926977
- 1356680078
- 1356473052
- 1023151784