Julie C. Vanderploeg, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1538 Issued in WY

Practice address

1040 N 6TH St
Greybull, WY 82426-1613

Phone

(307) 250-0123

Fax

(844) 389-3607

NPI assigned

May 22, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1437369451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824260344",
            "telephone_number": "307-250-0123",
            "fax_number": "844-389-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N 6TH ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824261613",
            "telephone_number": "307-250-0123",
            "fax_number": "844-389-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPLOEG",
        "first_name": "JULIE",
        "middle_name": "C.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-3522",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437369451",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18403786",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC (Shopko Pharmacy 776)
• Stephanie Kunkel Sloan
• Makyela Dawn Sorensen, PA-C
• Nickolas Shawn Sullivan-Kern
• Brandon Winters Tolman, PHARMD
• Randy E Waddell
• Darcie N Wisehart, MSW, LCSW
• Wyo Clinic LLC

• Professional Counselor in Greybull, WY
• Providers in Greybull, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.