Individual provider Active NPI

Andrea Cabral Van Vranken, BSW

  • Mental Health Counselor
  • Chula Vista, CA
National Provider Identifier
1508048448
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1105 Broadway Ste 207
Chula Vista, CA 91911-2767
Phone
(619) 425-5609
Fax
(619) 425-8349
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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 Primary

Addresses

Primary practice location

1105 Broadway Ste 207
Chula Vista, CA 91911-2767

Mailing address

1105 Broadway Ste 207
Chula Vista, CA 91911-2767
Phone (619) 425-5609

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

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1508048448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY STE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767",
            "telephone_number": "619-425-5609",
            "fax_number": "619-425-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY STE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767",
            "telephone_number": "619-425-5609",
            "fax_number": "619-425-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VRANKEN",
        "first_name": "ANDREA",
        "middle_name": "CABRAL",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.