Virginia Pleasants Vandenbergh, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0001419 Issued in CO

Practice address

4760 Ludlow St
Boulder, CO 80305

Phone

(510) 735-6002

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1982035788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 LUDLOW ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056742",
            "telephone_number": "510-735-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 LUDLOW ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "510-735-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERGH",
        "first_name": "VIRGINIA",
        "middle_name": "PLEASANTS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0001419",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "100.0093081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitra Van Vuren
• Michael C Vanaria, DC
• David James Vanas, PT, DPT
• Karin Dejong Vanbaak, M.D.
• Cathleen Susan Vanbuskirk, MD
• Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR
• Kyle Vandenbroucke, LPCC
• Darcy Vanderbie-Pace, MS PT
• Brandy Penelope Vanderburg
• Eileen M Vandergrift, PHD

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.