Individual provider Active NPI

Nicole Leigh Vanderhoof, MA, LPCC

  • Mental Health Counselor
  • Rochester, MN
National Provider Identifier
1881280121
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4014 Issued in MN
Practice address
2121 Campus Dr SE
Rochester, MN 55904-4744
Phone
(507) 322-3019
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4014 MN Primary

Addresses

Primary practice location

2121 Campus Dr SE
Rochester, MN 55904-4744

Mailing address

720 5TH Ave SE
Rochester, MN 55904-7308
Phone (507) 990-1908

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

LicenseStateTypeSpecialty
4014MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Family Healing CurrentSince Oct 8, 2023 Accepting new patients
Gerard Treatment Programs, LLC Past Accepting new patients
Birchlawn Place Counseling Center, Inc Mental Health PastSince Dec 1, 2020 Accepting new patients

Locations

2121 Campus Dr SE
Rochester, MN 55904
Phone (507) 251-4870

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1881280121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 5TH AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047308",
            "telephone_number": "507-990-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CAMPUS DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044744",
            "telephone_number": "507-322-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.