Individual provider Active NPI

Amy Vanbecelaere, LPCC

  • Professional Counselor
  • Newport Beach, CA
National Provider Identifier
1316689755
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC9784 Issued in CA
Practice address
3434 Via Lido Ste 200
Newport Beach, CA 92663-3967
Phone
(949) 386-8224
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X R-DMT-2067 IL
Professional Counselor 101YP2500X LPCC9784 CA Primary

Addresses

Primary practice location

3434 Via Lido Ste 200
Newport Beach, CA 92663-3967

Mailing address

3434 Via Lido Ste 200
Newport Beach, CA 92663-3967
Phone (949) 633-2821

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

State licenses

LicenseStateTypeSpecialty
LPCC9784CAMDProfessional Counselor
R-DMT-2067ILMDDance Therapist

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1316689755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 VIA LIDO STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633967",
            "telephone_number": "949-633-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VIA LIDO STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633967",
            "telephone_number": "949-386-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBECELAERE",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "R-DMT-2067",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC9784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.