Individual provider Active NPI

Joseph Allen Vanderzanden, LPC

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1336484567
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009804 Issued in MI
Practice address
27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367
Phone
(248) 274-4978
Fax
(248) 671-0556
NPI assigned
Nov 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401009804 MI
Professional Counselor 101YP2500X 6401009804 MI Primary

Addresses

Primary practice location

27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367

Mailing address

27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367
Phone (248) 274-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212001342 MI Practitioner - Mental Health Counselor 5698201754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009804MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Balance Counseling of Michigan, LLC Professional CurrentSince Nov 27, 2024 Accepting new patients

Locations

27620 Farmington Rd
Ste B1
Farmington Hills, MI 48334
Phone (248) 274-4978

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1336484567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "248-274-4978",
            "fax_number": "248-671-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "248-274-4978",
            "fax_number": "248-671-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZANDEN",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009804",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.