Derith Ellen Vanetten, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000820-1 Issued in NY

Practice address

14210 Sanford Ave
Flushing, NY 11355-2577

Phone

(718) 463-4613

Fax

(718) 939-9136

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pastoral Counseling Center of Flushing

  • Pastoral Counselor
  • Flushing, NY
  • NPI 1053535195

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922122472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 160TH ST # 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583633",
            "telephone_number": "718-353-1492",
            "fax_number": "718-353-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552577",
            "telephone_number": "718-463-4613",
            "fax_number": "718-939-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANETTEN",
        "first_name": "DERITH",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000820-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katianna Valere
• Miriam Nalissa Valero, LMSW
• Antonia Lisseth Valle Villatoro, MD
• Van Loon DME USA Inc
• Jose Carlos Vanegas Perez, MD
• Vantage Medical Group
• Emily Justine Vargas
• Jeny Varghese, MD
• Megan Anna Varghese
• Justin Edward Miranda Varias, DO

• Mental Health Counselor in Flushing, NY
• Providers in Flushing, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.