Individual provider Active NPI

Dianna K. Vanderdoes, M.A. , L.P.C. ,

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1609911163
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4248 Issued in CO
Practice address
1810 S Columbine St
Denver, CO 80210-3407
Phone
(303) 744-7371
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC-4248 CO Primary

Addresses

Primary practice location

1810 S Columbine St
Denver, CO 80210-3407

Mailing address

2857 S Olathe Way
Aurora, CO 80013-1935
Phone (303) 699-2036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004753 CO Practitioner - Mental Health Counselor 8820441926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-4248COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of Denver CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Center of Denver Current Accepting new patients
Mental Health Center of Denver CurrentSince Jan 1, 2024 Accepting new patients

Locations

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

4455 E 12th Ave
Denver, CO 80220
Phone (303) 504-7782

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1609911163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 S OLATHE WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131935",
            "telephone_number": "303-699-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S COLUMBINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103407",
            "telephone_number": "303-744-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERDOES",
        "first_name": "DIANNA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "M.A. , L.P.C. ,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.