Individual provider Active NPI

John E. Vanderven Jr., LPCMH

  • Professional Counselor
  • Dover, DE
National Provider Identifier
1669713020
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1198 S Governors Ave Ste 201
Dover, DE 19904-6930
Phone
(302) 382-8698
Fax
(302) 269-3800
NPI assigned
Mar 11, 2013
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 NU Primary

Addresses

Primary practice location

1198 S Governors Ave Ste 201
Dover, DE 19904-6930

Mailing address

1198 S Governors Ave Ste 201
Dover, DE 19904-6930
Phone (302) 382-8698

Other practice location 1

204 W Arlington Blvd Ste a
Greenville, NC 27834-5762
Phone (302) 382-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240220001449 DE Practitioner - Mental Health Counselor 5395023055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Edge Counseling, LLCGroup PAC ID 2668750324, 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Edge, LLC Current Accepting new patients
Mental Edge Counseling, LLC Professional CurrentSince Sep 25, 2015 Accepting new patients
Mental Edge Counseling PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

204 W Arlington Blvd
#A
Greenville, NC 27834
Phone (302) 382-8698

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1669713020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W ARLINGTON BLVD STE A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345762",
            "country_code": "US",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERVEN",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.