Individual provider Active NPI

Peggy Vanduyne, LPC, LPCC, LMHC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1144540469
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2409 Issued in OR
Practice address
2828 Aldrich Ave S # 103
Minneapolis, MN 55408-2334
Phone
(503) 956-4506
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2409 OR Primary

Addresses

Primary practice location

2828 Aldrich Ave S # 103
Minneapolis, MN 55408-2334

Mailing address

2828 Aldrich Ave S # 103
Minneapolis, MN 55408-2334
Phone (503) 956-4506

Other practice location 1

PO Box 86323
Portland, OR 97286-0323
Phone (503) 956-4506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2409ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1144540469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 ALDRICH AVE S # 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082334",
            "telephone_number": "503-956-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 ALDRICH AVE S # 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082334",
            "telephone_number": "503-956-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 86323",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972860323",
            "country_code": "US",
            "telephone_number": "503-956-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDUYNE",
        "first_name": "PEGGY",
        "name_prefix": "Ms.",
        "credential": "LPC, LPCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.