Ingrid Van Haitsma Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INGRID VAN HAITSMA COUNSELING LLC

Practice address

500 Coffman St Ste 204
Longmont, CO 80501-5445

Phone

(720) 893-1683

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Ingrid Van Haitsma, LCSW, LAC

Title

Therapist/Owner

Phone

(616) 915-8203

Specialties & licenses 2

Addresses

Tax ID family

Ingrid Van Haitsma Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ingrid Van Haitsma Counseling LLC

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1598506776
  NPD tax ID
• Ingrid Van Haitsma Counseling LLC

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1942037098
  NPD tax ID

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1215764360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 POWDER HORN PL # 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041233",
            "telephone_number": "616-915-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COFFMAN ST STE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015445",
            "telephone_number": "720-893-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID VAN HAITSMA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "VAN HAITSMA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "616-915-8203",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Illman, D.C.
• Jonathan Illman, D.C.
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• Informed Solutions Counseling and Consultation, PLLC
• Ingrid M Brummet, LLC
• Ingrid Van Haitsma Counseling LLC
• Ingrid Van Haitsma Counseling LLC
• Inner Springs
• Innes Productions, Inc
• Judy Carol Innes, M.A.

• Clinical Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.