Individual provider Active NPI

Virginie Maria Van Driel, CPC, LCADC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1710166426
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0236 Issued in NV
Practice address
8112 Pebbleshire Ave
Las Vegas, NV 89117-1370
Phone
(402) 580-7744
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4348 NE
Mental Health Counselor 101YM0800X CP0236 NV Primary
Mental Health Counselor 101YM0800X 6462286-6004 UT

Addresses

Primary practice location

8112 Pebbleshire Ave
Las Vegas, NV 89117-1370

Mailing address

8112 Pebbleshire Ave
Las Vegas, NV 89117-1370
Phone (402) 580-7744

Other practice location 1

11636 Royal Derwent Ave
Las Vegas, NV 89138-6039
Phone (402) 580-7744

Other identifiers 1

IdentifierTypeStateIssuer
1710166426MedicaidNV

Other names 1

  • Mrs. Virginie Maria Van Driel Other name

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
CP0236NVMDMental Health Counselor
6462286-6004UTMDMental Health Counselor
4348NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: virginievandriel@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1710166426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 PEBBLESHIRE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171370",
            "telephone_number": "402-580-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 PEBBLESHIRE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171370",
            "telephone_number": "402-580-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11636 Royal Derwent Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891386039",
            "country_code": "US",
            "telephone_number": "402-580-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DRIEL",
        "first_name": "VIRGINIE",
        "middle_name": "MARIA",
        "credential": "CPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4348",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0236",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6462286-6004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710166426",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIE",
            "last_name": "VAN DRIEL",
            "middle_name": "MARIA",
            "prefix": "MRS.",
            "credential": "CPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.