Individual provider Active NPI

Joan Christine Vanderschaaf, EDD, LCPC, LMHC, NNC

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1487967956
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 7539 Issued in FL
Practice address
2100 Manchester Rd Ste 966
Wheaton, IL 60187-4671
Phone
(407) 435-1131
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 7539 FL Primary

Addresses

Primary practice location

2100 Manchester Rd Ste 966
Wheaton, IL 60187-4671

Mailing address

2100 Manchester Rd Ste 966
Wheaton, IL 60187-4671
Phone (407) 435-1131

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

LicenseStateTypeSpecialty
IMH 7539FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Arts & Wellness LLC CurrentSince Apr 19, 2020 Accepting new patients

Locations

2100 Manchester Rd
Ste 966
Wheaton, IL 60187
Phone (407) 435-1131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1487967956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 966",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874671",
            "telephone_number": "407-435-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 966",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874671",
            "telephone_number": "407-435-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHAAF",
        "first_name": "JOAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "EDD, LCPC, LMHC, NNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 7539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.