STEVEN C VANGELDER LMHC NPI 1023102779

NPI Information

NPI: 1023102779
Provider Name: STEVEN C VANGELDER, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

CLIA Number: 10D0909582

Address:
565 MEMORIAL CIR
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 310-8766
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Steven C Vangelder, LMHC is a mental health counselor in Ormond Beach, FL with 20 years of experience. Steven C Vangelder, LMHC NPI is 1023102779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

565 MEMORIAL CIR
ORMOND BEACH, FL
ZIP 32174-001
Phone: (386) 310-8766
Fax: (386) 310-8770

The NPI 1023102779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The CLIA number assigned to this NPI record is 10D0909582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	CAP 3318	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH9157	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	767467800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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