Jacqueline Rae Anderson, LP
NPI 1386137016ActiveIndividual· Psychologist· Broomfield, CO
Psychologist (LP) in Broomfield, Colorado, licensed in CO, with an NPI issued in June 2018. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1386137016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2018 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY.0005796 | CO |
| Psychologist, School | 103TS0200X | PSY.0005796 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CO) |
|---|
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