Anastasia L. Vandaele

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1010 Issued in NH

Practice address

400 Amherst St Ste 200
Nashua, NH 03063-4223

Phone

(603) 889-3553

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anastasia Jacobs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wanderlust Therapeutic Services, PLLC

  • Clinical Social Worker
  • Nashua, NH
  • NPI 1225659600
  NPD

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1730660077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAPLE ST",
            "city": "WHITEFIELD",
            "state": "NH",
            "postal_code": "035983114",
            "telephone_number": "603-991-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AMHERST ST STE 200",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634223",
            "telephone_number": "603-889-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAELE",
        "first_name": "ANASTASIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1010",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "JACOBS",
            "credential": "LMHC-C, MA, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blanca Valencia
• Elizabeth Valeri, OTR
• Setareh Vali
• Svetlana Valkovska, APRN
• Kerri A Vallante, PHARMD
• Richard Vandiver
• Kyle Vanoostendorp, PA-C
• Shaina Marie Varela, BA, M. ED
• Tearyn Vargas
• Thayna Vargas

• Mental Health Counselor in Nashua, NH
• Providers in Nashua, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.