Active NPI
Barton Vandenburg, LPC, NCC
- Counselor
- Pocatello, ID
National Provider Identifier
1417598384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-7336
- Practice address
- 1001 N 7TH Ave
Pocatello, ID 83201-5761 - Phone
- (208) 242-9087
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-7336 | ID | Primary |
Addresses
Primary practice location
1001 N 7TH Ave
Pocatello, ID 83201-5761
Mailing address
1001 N 7TH Ave
Pocatello, ID 83201-5761
Phone (208) 242-9087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-7336 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1417598384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N 7TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015761",
"telephone_number": "208-242-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N 7TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015761",
"telephone_number": "208-242-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBURG",
"first_name": "BARTON",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-7336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.