Active NPI
Holly Martin Vandoren, MS
- Mental Health Counselor
- Auburn, CA
National Provider Identifier
1306445424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11484 B Ave
Auburn, CA 95603-2603 - Phone
- (530) 886-3637
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11484 B Ave
Auburn, CA 95603-2603
Mailing address
498 Lake Estates Dr
Meadow Vista, CA 95722-9569
Phone (530) 392-2109
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hvandoren@placer.ca.gov | ||
| Direct Messaging Address | WPC@placer.ca.gov |
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 Science
Interoperability endpoints
- wpc@placer.ca.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1306445424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 LAKE ESTATES DR",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "957229569",
"telephone_number": "530-392-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11484 B AVE",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032603",
"telephone_number": "530-886-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDOREN",
"first_name": "HOLLY",
"middle_name": "MARTIN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hvandoren@placer.ca.gov",
"affiliation": "N",
"address_1": "11484 B Ave",
"city": "Auburn",
"state": "CA",
"country_code": "US",
"postal_code": "956032603",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "WPC@placer.ca.gov",
"affiliation": "N",
"address_1": "11484 B Ave",
"city": "Auburn",
"state": "CA",
"country_code": "US",
"postal_code": "956032603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.