Kristen Nicole Vanderkolk, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017980 Issued in MI

Practice address

928 S Garfield Ave Ste 3a
Traverse City, MI 49686-2403

Phone

(231) 421-5358

NPI assigned

Jan 15, 2020

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Child & Family Services of Northwestern Michigan, Inc.

  • Voluntary or Charitable Agency
  • Traverse City, MI
  • NPI 1821121468
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1942840137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE STE 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-590-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE STE 3A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-421-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOLK",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Vander Hill
• Stephen P Vander Roest, M.D.
• Eric Vanderhaagen, D.O.
• Karen Vanderhorst, LMT
• Megan Vanderkaay, PA
• Michael Homer Vanderkolk, M.D.
• Brianna Vanderley
• Corey R Vanderwulp, OT
• Robert Bruce Vandragt, DENTIST
• Audrey Vang

• Professional Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.