Jeffrey L. Vandenbussche, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011982 Issued in IL

Practice address

410 S Michigan Ave Ste 928
Chicago, IL 60605-1399

Phone

(312) 248-3190

NPI assigned

Feb 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Vandenbussche Psychotherapy, Inc.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1790558831
  NPD Authorized official
• DK Therapy LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386155943
  NPD (past)

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1063751980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W WINONA ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402908",
            "telephone_number": "773-271-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051399",
            "telephone_number": "312-248-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBUSSCHE",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008984",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000303",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Vandellen, OTR/L
• Delaney Vandemore
• Erin Vanden Brook, LCSW
• Taylor Vandenberg, MD
• Vandenbussche Psychotherapy, Inc.
• Jamie Lee Vandenelzen, D.C.
• Rebecca Vandenmeerendonk
• Kimberly A Vander Griend, LCSW
• Marisa Vander Meeden, PA
• Karin E Vander Ploeg Booth

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.