Jonathan Royce Vandervlugt, LMHCA is a
Counselor - Mental Health based in Crown Point, Indiana. Jonathan Royce Vandervlugt is licensed to practice in * (Not Available) (license number ) and his current practice location is
9614 Granada Ct Apt 111, Crown Point, Indiana. He can be reached at his office (for appointments etc.) via phone at
(773) 732-1155.
NPI number for Jonathan Royce Vandervlugt is 1215534037 and his current mailing address is 9614 Granada Ct Apt 111, Crown Point, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215534037.
Healthcare Provider's Profile
Full Name | Jonathan Royce Vandervlugt |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 9614 Granada Ct Apt 111, Crown Point, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215534037
- Provider Enumeration Date: 10/05/2020
- Last Update Date: 10/12/2020
Medical Identifiers
Medical identifiers for Jonathan Royce Vandervlugt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215534037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Royce Vandervlugt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Royce Vandervlugt, LMHCA 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 Ph: (773) 732-1155 | Jonathan Royce Vandervlugt, LMHCA 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 Ph: (773) 732-1155 |
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