JONATHAN ROYCE VANDERVLUGT


Address: 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161
Phone: 7737321155

JONATHAN ROYCE VANDERVLUGT (NPI# 1215534037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215534037
Entity Type Individual
Full Name JONATHAN ROYCE VANDERVLUGT
Credential LMHCA
Practice Address 9614 Granada Ct Apt 111
Crown Point
IN 46307-2161
Practice Telephone 7737321155
Mailing Telephone 7737321155
Enumeration Date 2020-10-05
Last Update Date 2020-10-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 9614 GRANADA CT APT 111
City CROWN POINT
State IN
Zip Code 46307-2161

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117935 Alimat O Biokoro Home Health Aide 1446 W 94th Ct., Crown Point, IN 46307 2020-09-06
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1659933646 Darshak Joshi Physical Therapist 860 Stillwater Parkway, Crown Point, IN 46307 2019-07-01
1215592001 Jamie Monday Counselor 1416 East Joliet St., Crown Point, IN 46307 2019-05-07
1790281152 Tempus Labs Inc. Clinical Medical Laboratory 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 2018-04-04
1669991170 Katie Lynn Eich Counselor 1308 N. Main St, Crown Point, IN 46307 2017-09-15
1053847251 Nicole Bashan Lewis Counselor 1325 W 98th Ave, Crown Point, IN 46307 2017-05-08
1710433008 Paul Alvin Clavecilla Physical Therapist 1099 South Main St., Apt. 314, Crown Point, IN 46307 2016-08-28
1851761365 Cynthia Catherine Grass Black Social Worker 8592 Bell Lane, Crown Point, IN 46307 2015-09-28
1326437799 Ameya Dorsatwar Physical Therapist 1516 North Main St, Crown Point, IN 46307 2015-01-22
Find all providers in zip 46307

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326646647 Elizabeth Labriola Counselor 1406 E Joliet St, Crown Point, IN 46307-4724 2020-10-09
1174148704 Kristine Elizabeth Cornett Counselor 9405 Fillmore Ct, Crown Point, IN 46307-1747 2020-06-09
1215592001 Jamie Monday Counselor 1416 East Joliet St., Crown Point, IN 46307 2019-05-07
1790297885 Averyl Reid Counselor 9150 E 109th Ave Ste 1b, Crown Point, IN 46307-7686 2017-10-29
1669991170 Katie Lynn Eich Counselor 1308 N. Main St, Crown Point, IN 46307 2017-09-15
1467973271 Oryna Counseling, Inc. Counselor 1512 W 96th Ave Ste E, Crown Point, IN 46307-6266 2017-06-30
1053847251 Nicole Bashan Lewis Counselor 1325 W 98th Ave, Crown Point, IN 46307 2017-05-08
1346611134 Michael Harvey Jr. Counselor 107 E 93rd Ave, Crown Point, IN 46307-8601 2015-10-19
1639549587 Tabitha Bolden Counselor 9806 Lincoln Ct, Crown Point, IN 46307-2427 2015-10-05
1235541244 Jeremy Michael Waddell Counselor 1308 N Main Street, Crown Point, IN 46307 2014-05-25
Find all providers in CROWN POINT

Competitor

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City CROWN POINT
Zip Code 46307

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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