Andrew D Vandyke, LPC, CGP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-6331 Issued in CO

Practice address

1118 W Cucharras St
Colorado Springs, CO 80904-4336

Phone

(719) 659-6228

NPI assigned

Dec 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1316216732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W CUCHARRAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044336",
            "telephone_number": "719-659-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W CUCHARRAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044336",
            "telephone_number": "719-659-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPC, CGP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-6331",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-6331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27001784",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Vandersarl, LMT, ICNMT
• Alicia Vandersluis, M.D.
• Brenda Vanderwel, PA-C
• Joshua Daniel Vanderwerf, M.D.
• Scott Vandeveer, MD
• Morrisa Vandyke, MA, LPC
• Kendall R Vanegmond
• Vanessa P. Graf
• Lars Vanetten, MD
• Vanguard Medical Specialists LLC

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.