Active NPI
Morrisa Vandyke, MA, LPC
- Professional Counselor
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6093
- Practice address
- 2542 E Bijou St
Colorado Springs, CO 80909-6013 - Phone
- (719) 301-6882
- NPI assigned
- Feb 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6093 | CO | Primary |
Addresses
Primary practice location
2542 E Bijou St
Colorado Springs, CO 80909-6013
Mailing address
2542 E Bijou St
Colorado Springs, CO 80909-6013
Phone (719) 649-9922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Elkton Dr
Suite 300
Colorado Springs, CO 80907-3597
Phone (719) 373-9703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6093 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Whole Recovery PC | Current | Accepting new patients | |
| Achieve Whole Recovery, PC | Current | Accepting new patients | |
| Achieve Whole Recovery, PC | Current | Accepting new patients | |
| Stepping Stones Counseling Service | Past | Accepting new patients |
Locations
1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471
1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150
8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471
Organizations & group practices 4
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.
-
- Specialist
- Colorado Springs, CO
- NPI 1013456383
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1720482722
-
- Specialist
- Denver, CO
- NPI 1457922270
-
- Specialist
- Lakewood, CO
- NPI 1275205395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1912365859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096013",
"telephone_number": "719-649-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096013",
"telephone_number": "719-301-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYKE",
"first_name": "MORRISA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-07",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.