Leah Marie Vanderkooy, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011650 Issued in GA

Practice address

3309 45TH St W
Bradenton, FL 34209-8036

Phone

(941) 447-6488

NPI assigned

Mar 4, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1952996613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 45TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098036",
            "telephone_number": "941-447-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 45TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098036",
            "telephone_number": "941-447-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOOY",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bradenton",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bradenton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bradenton",
            "address_1": "3309 45th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342098036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Purita Van Cleave
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• Karla Jo Vanbeek, MSOTR
• Margaret A Vance, LMT
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• Brittany Vankirk, RDN
• Stephanie Ann Vanover, LMT

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.