Individual provider Active NPI

Emma Vanderiet, MA, LPCC

  • Mental Health Counselor
  • Lafayette, CO
National Provider Identifier
1144945007
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0021804 Issued in CO
Practice address
588 N US Highway 287 Ste 200
Lafayette, CO 80026-2615
Phone
(720) 387-8458
Fax
(720) 306-5190
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.001926 CO
Mental Health Counselor 101YM0800X LPC.0021804 CO Primary

Addresses

Primary practice location

588 N US Highway 287 Ste 200
Lafayette, CO 80026-2615

Mailing address

508 Straight Creek Way
Lafayette, CO 80026-8978
Phone (602) 930-8892

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0021804COMDMental Health Counselor
LPCC.001926COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1144945007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 STRAIGHT CREEK WAY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268978",
            "telephone_number": "602-930-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 N US HIGHWAY 287 STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "720-387-8458",
            "fax_number": "720-306-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERIET",
        "first_name": "EMMA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.001926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0021804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.