Individual provider Active NPI

Ellen Vandekop, LCPC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1316691710
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-55123 Issued in MT
Practice address
825 Great Northern Blvd Ste 326
Helena, MT 59601-3392
Phone
(406) 850-6595
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Group Psychotherapy Psychologist 103TP2701X
Professional Counselor 101YP2500X BBH-LCPC-LIC-55123 MT Primary

Addresses

Primary practice location

825 Great Northern Blvd Ste 326
Helena, MT 59601-3392

Mailing address

825 Great Northern Blvd Ste 326
Helena, MT 59601-3392
Phone (406) 850-6595

Other practice location 1

3 Lava Mountain Ct N
Clancy, MT 59634-9673
Phone (406) 850-6595

Other identifiers 2

IdentifierTypeStateIssuer
1316691710MedicaidMT
BBH-LCPC-LIC-55123OtherMTLICENSED CLINICAL PROFESSIONAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ellen@ellenvandekoplcpc.com

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
BBH-LCPC-LIC-55123MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1316691710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 GREAT NORTHERN BLVD STE 326",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013392",
            "telephone_number": "406-850-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 GREAT NORTHERN BLVD STE 326",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013392",
            "telephone_number": "406-850-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Lava Mountain Ct N",
            "address_purpose": "LOCATION",
            "city": "Clancy",
            "state": "MT",
            "postal_code": "596349673",
            "country_code": "US",
            "telephone_number": "406-850-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEKOP",
        "first_name": "ELLEN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-55123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316691710",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL",
            "identifier": "BBH-LCPC-LIC-55123",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen@ellenvandekoplcpc.com",
            "affiliation": "N",
            "address_1": "3 Lava Mountain Ct N",
            "city": "Clancy",
            "state": "MT",
            "country_code": "US",
            "postal_code": "596349673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.