Vanessa Marie Vanderlaan, REGISTERED MENTAL HI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25005 Issued in FL

Practice address

1215 W 27TH St
Jacksonville, FL 32209-4009

Phone

(239) 888-7730

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1700626181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W 27TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094009",
            "telephone_number": "239-888-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W 27TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094009",
            "telephone_number": "239-888-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLAAN",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "REGISTERED MENTAL HI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Blythe Vandenbroek, PT, DPT
• Micah Aaron Vander Griend, MD, MPH
• Clare M Vander Sluis, APRN
• Emily Anne Vander Zee, PA-C, MMS
• Kristen Vanderhoef, MD
• Madison M Vanderploeg, RBT
• Heidi Vandervelde, DO
• Rein Vandervelde, P.T.
• Charlene Vandiver
• Catherine Ann Vandygriff

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.