MARK W. ANDERSON (LADC) – Addiction (Substance Use Disorder) Counselor, NPI 1225215122

MARK W. ANDERSON (LADC) is a healthcare provider. based in Grand rapids, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials LADC. They hold a License No. 302045 (MN). The NPI Number for MARK W. ANDERSON (LADC) is 1225215122

Main info

Male
Name
MARK W. ANDERSON (LADC)
NPI
1225215122
Phone
Not provided
Address
1215 SE 7TH AVE
Enumeration Date
23 January 2008
Last Update Date
23 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MARK W. ANDERSON (LADC)

  • 1215, Southeast 7th Avenue, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 557444201

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55744)

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Frequently asked questions

What is the 10-digit NPI for MARK W. ANDERSON (LADC)?
MARK W. ANDERSON (LADC) — NPI 1225215122 — is the standard way to identify this listing.
Does the file indicate MARK W. ANDERSON (LADC) is practicing under active NPI?
Directory data currently reports MARK W. ANDERSON (LADC) as active.
What is MARK W. ANDERSON (LADC)'s primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for MARK W. ANDERSON (LADC) here. Clinical services aligned with this taxonomy classification.
Does MARK W. ANDERSON (LADC) list a practice location?
Patients near Grand Rapids, Minnesota may find MARK W. ANDERSON (LADC) in results; validate coverage separately.
Is the information about MARK W. ANDERSON (LADC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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