Individual provider Active NPI

Vaunda Pearson, M.ED, LPC

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1366534927
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0019785 Issued in CO
Practice address
375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone
(970) 578-1685
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 LPC.0019785 CO Primary
Mental Health Counselor 101YM0800X MH 9416 FL

Addresses

Primary practice location

375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197

Mailing address

375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone (970) 310-3406

Other identifiers 1

IdentifierTypeStateIssuer
766937200MedicaidFL

Other names 1

  • Ms. Vaunda Pearson Yenzer Former name

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)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MH 9416FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Warrington Chiropractic Clinic Corp PastSince Aug 19, 2009 Accepting new patients

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1366534927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 3101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253197",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 3101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253197",
            "telephone_number": "970-578-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "VAUNDA",
        "name_prefix": "Ms.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019785",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766937200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAUNDA",
            "last_name": "YENZER",
            "middle_name": "PEARSON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.