Ingrid Van Haitsma, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09928389 Issued in CO

Practice address

500 Coffman St Ste 204
Longmont, CO 80501-5445

Phone

(720) 893-1683

NPI assigned

Sep 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ingrid Van Haitsma Counseling LLC

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1598506776
  NPD Authorized official
• Ingrid Van Haitsma Counseling LLC

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1942037098
  NPD Authorized official
• Kent County CMH Authority

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1194617811
  NPD (past)
• Thresholds Inc

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1154403467
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1760930499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 POWDER HORN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041233",
            "telephone_number": "720-893-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COFFMAN ST STE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015445",
            "telephone_number": "720-893-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HAITSMA",
        "first_name": "INGRID",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928389",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Valdez
• Alicia Valenzo, PT, DPT
• Anna Valiante, LCSW
• Valor Counseling and Holistic Services
• Barbara Valusek, LPC
• Kristin Van Konynenburg, M.D.
• John Vandegrift, MA, CAC I
• Maggie Vandenberg, DVM
• Rebecca Vanderveen
• Rachel Baer Vanharken, LCSW

• Clinical Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.