Active NPI
Catherine Vandamme, LPC
- Professional Counselor
- Addison, TX
National Provider Identifier
1407422751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80279
- Practice address
- 14275 Midway Rd Ste 200
Addison, TX 75001-3618 - Phone
- (940) 230-6105
- NPI assigned
- May 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80279 | TX | Primary |
Addresses
Primary practice location
14275 Midway Rd Ste 200
Addison, TX 75001-3618
Mailing address
517 Summit Dr
Richardson, TX 75081-5121
Phone (940) 230-6105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80279 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1407422751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 SUMMIT DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815121",
"telephone_number": "940-230-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 200",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013618",
"telephone_number": "940-230-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDAMME",
"first_name": "CATHERINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.