Jonathan Royce Vandervlugt, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9614 Granada CT Apt 111
Crown Point, IN 46307-2161

Phone

(773) 732-1155

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1215534037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 GRANADA CT APT 111",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072161",
            "telephone_number": "773-732-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 GRANADA CT APT 111",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072161",
            "telephone_number": "773-732-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVLUGT",
        "first_name": "JONATHAN",
        "middle_name": "ROYCE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Buskirk & Krischke, D.D.S., L.L.C.
• Mark R Van Buskirk, DDS
• Heidi Lynn Van Essen, BSN,RN-BC
• Emmy Vanderbilt, LCSW
• Lily Vandersteeg, OTR/L
• Shannon Elizabeth Vandiver
• Kourtney Vanwoerden
• Jennifer Vargas, FNP-BC
• Katina A. Varner, DNP, FNP-BC
• Ann M. Vasquez, LCSW

• Mental Health Counselor in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.