Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR

Primary specialty

Art TherapistTaxonomy code 221700000X

License

05-132

Practice address

4500 19TH St
Lot 190
Boulder, CO 80304-0613

Phone

(303) 641-2718

NPI assigned

May 16, 2007

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

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

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Mental Health LLCGroup PAC ID 0143768341, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empower Mental Health LLC

  dba Ellie Mental Health - Broomfield West

  • Mental Health Counselor
  • Broomfield, CO
  • NPI 1699462697
  Medicare reassignment Care Compare group NPD
• Boulder Neurology and Concussion PLLC

  dba Boulder Neurology and Concussion

  • Neurology Physician
  • Louisville, CO
  • NPI 1336622570
  NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659588101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 19TH ST",
            "address_2": "LOT 190",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040613",
            "telephone_number": "303-641-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 19TH ST",
            "address_2": "LOT 190",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040613",
            "telephone_number": "303-641-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOVENKAMP",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MA-LPC-ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "3918",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "05-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Vanaria, DC
• David James Vanas, PT, DPT
• Karin Dejong Vanbaak, M.D.
• Cathleen Susan Vanbuskirk, MD
• Virginia Pleasants Vandenbergh, LMFT
• Kyle Vandenbroucke, LPCC
• Darcy Vanderbie-Pace, MS PT
• Brandy Penelope Vanderburg
• Eileen M Vandergrift, PHD
• Jan Michal Vanderlinden, L.AC.

• Art Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Art Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.