Active NPI
Mary Ann Vander Veer, MA, LMHC
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1801149745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60113142
- Practice address
- 7331 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1570 - Phone
- (360) 957-5898
- Fax
- (702) 489-7844
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60454153 | WA | |
| Mental Health Counselor | 101YM0800X | CG60113142 | WA | Primary |
| Mental Health Counselor | 101YM0800X | CP2907R | NV |
Addresses
Primary practice location
7331 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1570
Mailing address
7331 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1570
Phone (702) 980-5241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054842 | Medicaid | WA | |
| 1801149745 | Medicaid | NV |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP2907R | NV | MD | Mental Health Counselor |
| CG60113142 | WA | MD | Mental Health Counselor |
| LH60454153 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Balance Counseling, PLLC | Mental Health | Past | Accepting new patients |
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.
-
dba Mary Vander Veer
- Mental Health Counselor
- Las Vegas, NV
- NPI 1316535347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1801149745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7331 W CHARLESTON BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171570",
"telephone_number": "702-980-5241",
"fax_number": "702-975-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7331 W CHARLESTON BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171570",
"telephone_number": "360-957-5898",
"fax_number": "702-489-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER VEER",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60454153",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60113142",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP2907R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054842",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801149745",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.