Individual provider Active NPI

Nancy Dale Vanderroest, LLPC

  • Professional Counselor
  • Whitehall, MI
National Provider Identifier
1619676442
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451016164 Issued in MI
Practice address
516 E Colby St
Whitehall, MI 49461-1113
Phone
(231) 893-8336
Fax
(231) 981-5277
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451016164 MI Primary

Addresses

Primary practice location

516 E Colby St
Whitehall, MI 49461-1113

Mailing address

516 E Colby St
Whitehall, MI 49461-1113
Phone (231) 893-8336

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
6451016164MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Consultation Services CurrentSince Aug 24, 2025 Accepting new patients

Locations

516 E Colby St
Whitehall, MI 49461
Phone (231) 893-8336

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1619676442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611113",
            "telephone_number": "231-893-8336",
            "fax_number": "231-981-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611113",
            "telephone_number": "231-893-8336",
            "fax_number": "231-981-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERROEST",
        "first_name": "NANCY",
        "middle_name": "DALE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451016164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.