MEDICARE: SUSAN ELIZABETH ANDERSEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	256477	KY

General Provider Information

NPI Number	:	1689565095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ELIZABETH ANDERSEN

Provider Business Mailing Address
First Line	:	138 ARDMORE CROSSING DR
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-6501
Country	:	US
Telephone Number	:	502-640-0369
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 ARDMORE CROSSING DR
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-6501
Country	:	US
Telephone Number	:	502-640-0369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

Similar Medicare Providers

1588098925 — EMILY LOGSDON LPCC-S
Practice Location Address:

107 ARDMORE CROSSING DR
SHELBYVILLE, KY
40065-6501

Practice Phone: 502-387-3251
Practice Fax:

1790639672 — JUANITA SIMMONS HAGAN LPCC
Practice Location Address:

998 BROOKS INDUSTRIAL RD
SHELBYVILLE, KY
40065-8154

Practice Phone: 502-633-1315
Practice Fax: 502-633-1316

1114876331 — LAUREN ELIZABETH MAIER MSN, APRN, FNP-C
Practice Location Address:

4154 TINGLE DR
SHELBYVILLE, KY
40065-7853

Practice Phone: 740-996-6052
Practice Fax:

1396519112 — ALYSSA KAY CHAMBLISS M.S., CCC-SLP
Practice Location Address:

90 HOWARD DR
SHELBYVILLE, KY
40065-8138

Practice Phone: 502-633-1007
Practice Fax:

1811840291 — MRS. APRIL DAWN LAWRENCE
Practice Location Address:

90 HOWARD DR
SHELBYVILLE, KY
40065-8138

Practice Phone: 812-502-2339
Practice Fax:

1316226590 — DR. AMY B GONSHAK PH.D.
Practice Location Address:

4031 FIRESTONE WAY
SHELBYVILLE, KY
40065-6305

Practice Phone: 502-523-1863
Practice Fax:

Directions to “ SUSAN ELIZABETH ANDERSEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.