Active NPI
Fran J Vanbockel, LPC, RN
- Mental Health Counselor
- Gettysburg, SD
National Provider Identifier
1356512693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R024957 | Other | SD | SD-RN R024957 |
| 1154 | Other | SD | LPC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1154 | SD | MD | Professional 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.