Individual provider Active NPI

Dana Vandam

  • Mental Health Counselor
  • Gilbert, AZ
National Provider Identifier
1144006768
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-22477 Issued in AZ
Practice address
1425 W Elliot Rd
Gilbert, AZ 85233-5129
Phone
(480) 223-0223
NPI assigned
Sep 8, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-22477 AZ Primary

Addresses

Primary practice location

1425 W Elliot Rd
Gilbert, AZ 85233-5129

Mailing address

21333 N Karsten Dr
Maricopa, AZ 85138-1553
Phone (480) 450-0741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240325003459 AZ Practitioner - Mental Health Counselor 6103263298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilbert Counselors LLCGroup PAC ID 7416393335, 5 clinicians

Practice addresses (Care Compare)

1425 W Elliot Rd
Suite 201
Gilbert, AZ 85233-5142
Phone (480) 223-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Counselors, LLC Mental Health CurrentSince Feb 6, 2024 Accepting new patients

Locations

1425 W Elliot Rd
Ste 201
Gilbert, AZ 85233
Phone (480) 223-0223

33 N Lindsay Rd
Ste 112
Gilbert, AZ 85234
Phone (480) 223-0223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1144006768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 N KARSTEN DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381553",
            "telephone_number": "480-450-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335129",
            "telephone_number": "480-223-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAM",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.