Colin D Van, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1009 W Ridge St Ste C
Marquette, MI 49855-3997

Phone

(906) 228-6545

Fax

(906) 228-8236

NPI assigned

Jan 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1871091330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "888-977-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W RIDGE ST STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553997",
            "telephone_number": "906-228-6545",
            "fax_number": "906-228-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 Rock St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554783",
            "country_code": "US",
            "telephone_number": "906-227-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "COLIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Valesano, RN
• Bethany Ann Vallar, D.C.
• William Carter Vallin, PA C
• James Edward Van Eck III
• Jessica Van Overloop
• Hendrik C Vandenende, MD
• Nina Rae Vandenende, NP
• Amy Vanderberg
• Lyle J Vanderschaaf, MD
• Susan Jean Vandewalle, LMT

• Addiction (Substance Use Disorder) Counselor in Marquette, MI
• Providers in Marquette, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.