Vandenbussche Psychotherapy, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VANDENBUSSCHE PSYCHOTHERAPY, INC.

Practice address

1242 W Winona St Unit 1
Chicago, IL 60640-2908

Phone

(773) 271-1312

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Lee Vandenbussche, MA, LCPCNPI 1063751980

Title

President

Phone

(773) 271-1312

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey L. Vandenbussche, MA, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1063751980
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1790558831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W WINONA ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402908",
            "telephone_number": "773-271-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W WINONA ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402908",
            "telephone_number": "773-271-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDENBUSSCHE PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "VANDENBUSSCHE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-271-1312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Vandecaveye, APRN, CNP
• Lori Vandellen, OTR/L
• Delaney Vandemore
• Erin Vanden Brook, LCSW
• Taylor Vandenberg, MD
• Jeffrey L. Vandenbussche, MA, LCPC
• Jamie Lee Vandenelzen, D.C.
• Rebecca Vandenmeerendonk
• Kimberly A Vander Griend, LCSW
• Marisa Vander Meeden, PA

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

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