Christine Vandertol, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001469 Issued in VA

Practice address

412 Tearose PL SW
Leesburg, VA 20175-2522

Phone

(818) 416-5979

Fax

(818) 584-8878

NPI assigned

Feb 15, 2011

Last updated

Mar 4, 2020By 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 2

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1609173400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201777917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 TEAROSE PL SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752522",
            "telephone_number": "818-416-5979",
            "fax_number": "818-584-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERTOL",
        "first_name": "CHRISTINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49416",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Ray Vanakin, DC
• Christine P Vance, RDH
• Samantha A Vance
• Vandana Sood, D.M.D., LLC
• Sara Vandeginste, FNP-BC
• Sarah Vanlandingham
• April Vannoy, MSN, ARNP, FNP-BC
• Leslie Marie Varela
• Sandra Varney, DDS
• Laura Anne Vaughan

• Marriage & Family Therapist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.