Kristin Van Der Poel, LPC, MFTC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0015740 Issued in CO

Practice address

104 N Harrison Ave Unit a
Lafayette, CO 80026-2310

Phone

(720) 378-4325

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Venture Into Connection PLLC

  • Mental Health Counselor
  • Lafayette, CO
  • NPI 1902420649
  NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1316560261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N HARRISON AVE UNIT A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262310",
            "telephone_number": "720-378-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N HARRISON AVE UNIT A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262310",
            "telephone_number": "720-378-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER POEL",
        "first_name": "KRISTIN",
        "credential": "LPC, MFTC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0013793",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Uran, RN
• US Radiology Partners of Texas Inc
• Jill Valenti
• Amy Eileen Valesh-Peterson, MSN
• Christopher Michael Vallejo, PA-C
• Scott M Vander Weit, D.C.
• Susan Joy Vanderborgh
• Emma Vanderiet, MA, LPCC
• Vicky A Vanderpool, MD
• Morgan Vantassel

• Mental Health Counselor in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.