Emily Vander Velden, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6057-125 Issued in WI

Practice address

7818 Big Sky Dr
#101
Madison, WI 53719-3524

Phone

(608) 203-6267

Fax

(608) 203-6696

NPI assigned

Jan 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• Best Self Counseling Center LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, WI
  • NPI 1568053874
  NPD (past)
• Marriage & Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Fitchburg, WI
  • NPI 1558560375
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1972969400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR",
            "address_2": "#101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524",
            "telephone_number": "608-203-6267",
            "fax_number": "608-203-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR",
            "address_2": "#101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524",
            "telephone_number": "608-203-6267",
            "fax_number": "608-203-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VELDEN",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6057-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17758-130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vandenbergh, MS, RN, CMSRN, GCNS-
• Maria Vandenlangenberg, RDN
• Rebecca Vander Heiden, RN
• Jane Vander Meer, N.P.
• Stephen H Vander Sluis
• Condon R Vanderark, MD
• Michelle R Vanderbilt, N.P.
• Timothy P Vanderbilt, M.D.
• Ashley Renee Vanderbosch, PA-C
• Joshua Paul Vanderloo

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.