Nancy J. Vande Vrede, MA, LPC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401006575 Issued in MI

Practice address

1201 Nickerson CT
Benton Harbor, MI 49022-2423

Phone

(269) 925-6995

Fax

(269) 925-6959

NPI assigned

Jun 13, 2007

Last updated

Sep 11, 2025By 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 3

Addresses

Other names 1

• Nancy J. Vande Vrede-Tiller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699979799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NICKERSON CT",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222423",
            "telephone_number": "269-925-6995",
            "fax_number": "269-925-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NICKERSON CT",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222423",
            "telephone_number": "269-925-6995",
            "fax_number": "269-925-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE VREDE",
        "first_name": "NANCY",
        "middle_name": "J.",
        "credential": "MA, LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401006575",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006575",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "VANDE VREDE-TILLER",
            "middle_name": "J.",
            "credential": "MA LPC NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Mental Health Counselor in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.