Kathleen Vanderkolk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007529 Issued in PA

Practice address

4153 Brownsville Road
Suite 5
Pittsburgh, PA 15227

Phone

(724) 816-7053

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1558768465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PERRY HWY",
            "address_2": "APT #1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291819",
            "telephone_number": "724-816-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 BROWNSVILLE ROAD",
            "address_2": "SUITE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15227",
            "telephone_number": "724-816-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOLK",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkokota Vanda, B.S.
• Jack E Vande Visse Jr., DMD
• Rachel Vanderberg
• Mark David Vanderbilt, M.D.
• Beverly June Vanderhorst
• Benjamin Vanderschelden, MD
• Donna Vanderveen
• Royce J. Vandervort, CRNA
• Robert Vanderweele
• Marjke Vanderzee

• Mental Health Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.