Individual provider Active NPI

Fran J Vanbockel, LPC, RN

  • Mental Health Counselor
  • Gettysburg, SD
National Provider Identifier
1356512693
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1154 Issued in SD
Practice address
105 N Exene St # 17
Gettysburg, SD 57442-1104
Phone
(605) 765-2164
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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 1154 SD Primary
Professional Counselor 101YP2500X 1154 SD

Addresses

Primary practice location

105 N Exene St # 17
Gettysburg, SD 57442-1104

Mailing address

105 N Exene St # 17
Gettysburg, SD 57442-1104
Phone (605) 765-2164

Other identifiers 2

IdentifierTypeStateIssuer
R024957OtherSDSD-RN R024957
1154OtherSDLPC

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1154SDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1356512693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N EXENE ST # 17",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421104",
            "telephone_number": "605-765-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N EXENE ST # 17",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421104",
            "telephone_number": "605-765-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBOCKEL",
        "first_name": "FRAN",
        "middle_name": "J",
        "credential": "LPC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1154",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "1154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD-RN R024957",
            "identifier": "R024957",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1154",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.