LYDIA VANDERKAMP (NPI# 1306345517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306345517 |
| Entity Type | Individual |
| Full Name | LYDIA VANDERKAMP |
| Credential | LPC |
| Practice Address |
17304 Marfa Lights Trl Round Rock TX 78664-7243 |
| Practice Telephone | 5125639070 |
| Practice Fax Number | 5125639070 |
| Mailing Telephone | 5125639070 |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 74723 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
74723 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
74723 | TX | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
TX | Behavioral Health & Social Service Providers |
| Street Address |
17304 MARFA LIGHTS TRL |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7243 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101840 | Rachel Varese Hobbins | Counselor | 303 E Main St Ste 104, Round Rock, TX 78664-5246 | 2020-07-16 |
| 1164046777 | Mccarrey Counseling Pllc | Counselor | 106 S Harris St Ste 237, Round Rock, TX 78664-6081 | 2020-05-31 |
| 1902437569 | Brisly Ntoh | Counselor | 2950 E Old Settlers Blvd Unit 44, Round Rock, TX 78665-2478 | 2020-01-31 |
| 1881256329 | Bobbi Ai Marsh | Counselor | 200 University Blvd Ste 225-261, Round Rock, TX 78665-1001 | 2019-07-04 |
| 1083274120 | Kathleen Marie Camp | Counselor | 2851 Joe Dimaggio Blvd Ste 7, Round Rock, TX 78665-3928 | 2019-06-20 |
| 1265994867 | Jennifer Reedy | Counselor | 107 Fannin Ave Bldg 100, Round Rock, TX 78664-5218 | 2019-04-02 |
| 1205397593 | R&r Counseling and Consulting Services, Pllc | Counselor | 1124 Preserve Pl, Round Rock, TX 78665-7905 | 2019-03-28 |
| 1275097958 | Cheri L Yadon | Counselor | 3000 Joe Dimaggio Blvd Ste 43, Round Rock, TX 78665-3995 | 2019-01-26 |
| 1710473871 | Ashley Nicole Salinas | Counselor | 400 W Main St Ste 214, Round Rock, TX 78664-5809 | 2018-07-02 |
| 1063922839 | Damien Robinson | Counselor | 306 Round Rock Ave, Round Rock, TX 78664-5142 | 2017-10-06 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on LYDIA VANDERKAMP.
| 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.