KATHRYN ELAINE VANDUSEN (NPI# 1861537946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861537946 |
| Entity Type | Individual |
| Full Name | KATHRYN ELAINE VANDUSEN |
| Credential | LCDC, LPC |
| Practice Address |
3000 Joe Dimaggio Blvd Ste 88 Round Rock TX 78664-3992 |
| Mailing Address |
210 Buoy Cir Georgetown TX 78628-9314 |
| Practice Telephone | 5126301741 |
| Mailing Telephone | 5126301741 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7357 | TX | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
16510 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3000 JOE DIMAGGIO BLVD STE 88 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-3992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518895 | Ashley Erin Blackwell | Counselor | 3000 Joe Dimaggio Blvd Ste 88, Round Rock, TX 78665-3992 | 2013-01-23 |
| 1831447689 | New Life Counseling Center, Pllc | Counselor | 3000 Joe Dimaggio Blvd Ste 88, Round Rock, TX 78665-3992 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366814691 | Timothy Lewis Young | Counselor | 2301 Ox Wagon Trl, Round Rock, TX 78665-2178 | 2015-10-26 |
| 1104122738 | Another Chance 4 Change | Counselor | 2851 Joe Dimaggio Blvd, Ste 4, Round Rock, TX 78665-3927 | 2011-01-29 |
| 1841435435 | Mickie Calame King | Counselor | 9 Scenic Ter, Round Rock, TX 78664-9635 | 2008-12-10 |
| 1972791861 | Robert Michael Dane | Counselor | 1315 Sam Bass Circle, Suite B3, Round Rock, TX 78681-4168 | 2007-10-04 |
| 1912518051 | Kimberly Dragon | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-08-12 |
| 1710510169 | Diane Dinsmore | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-02-13 |
| 1093351033 | Judith Crumrine | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-11-25 |
| 1871148957 | Lauren Bryant | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-08-06 |
| 1841844651 | Karrie Dashnaw | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-07-30 |
| 1386104560 | Charles Dollins | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-03-22 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on KATHRYN ELAINE VANDUSEN.
| 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.