Individual provider Active NPI

Tiffany Baucum Van Deren, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1700193513
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2585 Issued in CO
Practice address
1385 S Colorado Blvd
BLDG. a Suite 210
Denver, CO 80222-3304
Phone
(303) 818-2889
Fax
(303) 841-9224
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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 2585 CO Primary

Addresses

Primary practice location

1385 S Colorado Blvd
BLDG. a Suite 210
Denver, CO 80222-3304

Mailing address

10941 Independence Dr
Parker, CO 80134-9361
Phone (303) 818-2889

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
2585COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1700193513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 INDEPENDENCE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349361",
            "telephone_number": "303-818-2889",
            "fax_number": "303-841-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S COLORADO BLVD",
            "address_2": "BLDG. A SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223304",
            "telephone_number": "303-818-2889",
            "fax_number": "303-841-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEREN",
        "first_name": "TIFFANY",
        "middle_name": "BAUCUM",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.