Active NPI
Andrea Vangorder, NCC, LPC, LMFT
- Professional Counselor
- Lawton, OK
National Provider Identifier
1740665686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6411
- Practice address
- 910 SW E Ave
Lawton, OK 73501-4593 - Phone
- (405) 586-3726
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1295 | OK | |
| Professional Counselor | 101YP2500X | 6411 | OK | Primary |
Addresses
Primary practice location
910 SW E Ave
Lawton, OK 73501-4593
Mailing address
PO Box 3154
Lawton, OK 73502-3154
Phone (405) 586-3726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6411 | OK | MD | Professional Counselor |
| 1295 | OK | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1740665686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3154",
"city": "LAWTON",
"state": "OK",
"postal_code": "735023154",
"telephone_number": "405-586-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SW E AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735014593",
"telephone_number": "405-586-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGORDER",
"first_name": "ANDREA",
"credential": "NCC, LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "1295",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.