Harriet Luckett Vanwyngarden, LPCC, LMSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0337 Issued in NM

Practice address

121 Wyatt Dr Ste 7
Las Cruces, NM 88005-2960

Phone

(575) 649-7753

Fax

(575) 526-7835

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Harriet Luckett Van Wyngarden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1417027137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BLACKTAIL DEER AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075220",
            "telephone_number": "575-649-7753",
            "fax_number": "575-526-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WYATT DR STE 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052960",
            "telephone_number": "575-649-7753",
            "fax_number": "575-526-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWYNGARDEN",
        "first_name": "HARRIET",
        "middle_name": "LUCKETT",
        "name_prefix": "Ms.",
        "credential": "LPCC, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-1657",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9416",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIET",
            "last_name": "VAN WYNGARDEN",
            "middle_name": "LUCKETT",
            "prefix": "MS.",
            "credential": "LPCC, LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.