NPIMap

Organization Active NPI

Ingrid Van Haitsma Counseling LLC

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1942037098
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INGRID VAN HAITSMA COUNSELING LLC
Practice address
702 10TH Ave Ste 2
Longmont, CO 80501-4536
Phone
(720) 893-1683
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Ingrid Van HaitsmaNPI 1760930499
Title
Owner/Therapist
Phone
(616) 915-8203

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

702 10TH Ave Ste 2
Longmont, CO 80501-4536

Mailing address

44 Powder Horn PL
Longmont, CO 80504-1233
Phone (616) 915-8203

National Provider Directory

National Provider Directory
Tax ID family
Ingrid Van Haitsma Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1942037098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 POWDER HORN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041233",
            "telephone_number": "616-915-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 10TH AVE STE 2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014536",
            "telephone_number": "720-893-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID VAN HAITSMA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "VAN HAITSMA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-915-8203"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.