Annelisa Helene Pedersen, PHD is a
Counselor - Mental Health based in Austin, Texas. Annelisa Helene Pedersen is licensed to practice in * (Not Available) (license number ) and her current practice location is
2222 Western Trails Blvd Ste 107, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 815-3814.
NPI number for Annelisa Helene Pedersen is 1356589683 and her current mailing address is 2222 Western Trails Blvd Ste 107, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356589683.
Healthcare Provider's Profile
| Full Name | Annelisa Helene Pedersen |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 2222 Western Trails Blvd Ste 107, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356589683
- Provider Enumeration Date: 01/23/2009
- Last Update Date: 06/22/2022
Medical Identifiers
Medical identifiers for Annelisa Helene Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356589683 | NPI | - | NPPES |
| 1356589683 | Other | TX | BCBSTX |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 38061 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annelisa Helene Pedersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Annelisa Helene Pedersen, PHD
2222 Western Trails Blvd Ste 107,
Austin, TX 78745-1601
Ph: (512) 815-3814 | Annelisa Helene Pedersen, PHD
2222 Western Trails Blvd Ste 107,
Austin, TX 78745-1601
Ph: (512) 815-3814 |
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