Paul Vandaele, MA; LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-5781 Issued in ID

Practice address

3350 W Americana Ter Ste 210B
Boise, ID 83706-2521

Phone

(720) 212-7446

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A New Day Counseling Services

  • Professional Counselor
  • Boise, ID
  • NPI 1255275335
  NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1477010460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 N COLUMBINE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135257",
            "telephone_number": "720-212-7446",
            "fax_number": "208-485-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 210B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062521",
            "telephone_number": "720-212-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAELE",
        "first_name": "PAUL",
        "credential": "MA; LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Van Wyck
• Jamie Lynn Van, LPC
• Pamela Vance, CRC, LPC
• Ryan R Vance, RD, LD
• Tyler Vance, DO
• Kimberly Vandenwymelenberg, MS, OTR L
• Dane Vander Wall, ND
• Derek Daniel Vanderburg, PA-C
• Melanie Vanderpol, AUD
• Patricia Vandervelden, SPEECH THERAPIST

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.