Andrew Vanden Broeke, MA LAMFT

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Practice address

1354 Devonshire Curv
Bloomington, MN 55431-5002

Phone

(303) 803-2573

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transcend Psychotherapy PLLCGroup PAC ID 5092243014, 9 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Transcend Psychotherapy, PLLC

  • Psychologist
  • Minneapolis, MN
  • NPI 1144877143
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1114594546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 DEVONSHIRE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315002",
            "telephone_number": "303-803-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 DEVONSHIRE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315002",
            "telephone_number": "303-803-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BROEKE",
        "first_name": "ANDREW",
        "credential": "MA LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Christine Van Norman
• Abby Nicole Van Ryn
• Jacob S. Van Wyk, DPT
• Kayla Vancleave
• Sara Vande Walle, PHARMD
• Jacob Alan Vanelswyk, PT, DPT
• Muychi Timothy Vang, OD
• Tony Kong Vang, MD
• Toua Vang
• Zong Cheng Vang

• Adolescent and Children Mental Health Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.