Organization Active NPI

Venture Into Connection PLLC

  • Mental Health Counselor
  • Lafayette, CO
National Provider Identifier
1902420649
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VENTURE INTO CONNECTION PLLC
Practice address
104 N Harrison Ave Unit a
Lafayette, CO 80026-2310
Phone
(720) 378-4325
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Kristin J Van Der Poel, LPC, MFTC, NCCNPI 1316560261
Title
Founder/Owner
Phone
(720) 378-4325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

104 N Harrison Ave Unit a
Lafayette, CO 80026-2310

Mailing address

104 N Harrison Ave Unit a
Lafayette, CO 80026-2310
Phone (720) 378-4325

National Provider Directory

National Provider Directory

Locations

104 N Harrison Ave
Unit A
Lafayette, CO 80026
Phone (303) 578-2556

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1902420649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N HARRISON AVE UNIT A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262310",
            "telephone_number": "720-378-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N HARRISON AVE UNIT A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262310",
            "telephone_number": "720-378-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE INTO CONNECTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "VAN DER POEL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "720-378-4325",
        "authorized_official_credential": "LPC, MFTC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.