Jack Anderson
NPI 1023712882 · Marriage & Family Therapist · Maple Grove, MN
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Anderson is a Marriage & Family Therapist provider in Maple Grove, MN (NPI 1023712882).
Provider details
- NPI number
- 1023712882
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Frequently asked questions
- What is Jack Anderson's NPI number?
- Jack Anderson's National Provider Identifier (NPI) is 1023712882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Anderson's specialty?
- Jack Anderson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jack Anderson located?
- Jack Anderson's practice location on file with NPPES is 10900 89th Ave N Ste 3, Maple Grove, MN 55369-4025.
- What is Jack Anderson's phone number?
- The practice phone number listed in the NPPES registry for Jack Anderson is (651) 560-0050.
- Does Jack Anderson accept Medicare?
- Jack Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Anderson's NPI active?
- Yes — Jack Anderson's NPI (1023712882) is active in the NPPES registry as of the last update on 2023-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.