Elineke Vanderham, MA, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023592 Issued in MI

Practice address

170 College Ave Ste 310
Holland, MI 49423-2982

Phone

(616) 426-9034

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1053150532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WIND STREAM CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247632",
            "telephone_number": "231-942-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COLLEGE AVE STE 310",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232982",
            "telephone_number": "616-426-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHAM",
        "first_name": "ELINEKE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Vander Veen, LLC
• Stephanie Anne Vander Velde, PA-C
• Philip Vander Vennen, LLBSW
• Jordie Vander Wal, LMSW, CAADC
• Luke Thomas Vander Zouwen
• Micah Scott Vanderhill, DPT
• Melissa Ann Vanderklok, MSN, RN
• Kathryn Vanderkooy, RN, BSN
• Jackson Vanderlaan
• Barbara A Vandermale, PMHNP

• Mental Health Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.