JERYLE P ANDERSON, B.A. — NPI 1225171853 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1225171853

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YM0800X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

135 W MAIN ST, CHEHALIS, WA, 98532-4817

✓ 9-Digit EDI 837 ZIP+4 (98532-4817)

Practice Phone & Referral Fax

(360) 748-6696

Fax: (360) 748-0627

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225171853 (JERYLE P ANDERSON, B.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225171853` (NPI-1 Individual Practitioner)
Provider / Legal Name	JERYLE P ANDERSON, B.A.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YM0800X` (Counselor, Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	135 W MAIN ST, CHEHALIS, WA, 98532-4817
Practice Telephone / Fax	Tel: (360) 748-6696 \| Fax: (360) 748-0627
Administrative Mailing Address	1334 GARRISON ST NE, OLYMPIA, WA, 98506-4337
Enumeration & Last Sync	Enumerated: 2007-02-14 \| CMS Record Updated: 2007-07-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

135 W MAIN ST, CHEHALIS, WA, 98532-4817

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Plain-English Taxonomy & CMS Crosswalk (101YM0800X)

What Does Taxonomy Code 101YM0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YM0800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Mental Health Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JERYLE P ANDERSON, B.A.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: WA \| License: `RC00054114` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JERYLE P ANDERSON, B.A. (NPI #1225171853)