DEBRA L VANDENBOOM MAPCC LPC
NPI 1043935687
Counselor - Mental Health in South Haven, MI

Active since October 06, 2022PECOS EnrolledAccepts Medicare Assignment
80 ELKENBURG ST, SOUTH HAVEN, MI 49090(269) 205-3502 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Oct 6, 2022 (2 updates tracked since 2022).

About Debra L Vandenboom Mapcc Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA L VANDENBOOM MAPCC LPC (NPI 1043935687) is an individual mental health provider in South Haven, Michigan, licensed in Michigan (6401224288) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Benton Harbor, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043935687
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEBRA L VANDENBOOMCredential: MAPCC LPC
Location Address80 ELKENBURG STSouth Haven, MI 49090-1275
Mailing Address2900 Cleveland Ave Apt 212Saint Joseph, MI 49085-2364 · (262) 325-7424
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2022
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1043935687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MI · 6401224288 Licensed in MI · 6451020862
80 ELKENBURG ST, South Haven, MI 49090

Other Names 1

Other Name (5)Debi Vandenboom

Secondary Practice Location 1

Location 11850 Colfax AveBenton Harbor, MI 49022-6753 · Phone (269) 926-6199

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Debra L Vandenboom Mapcc Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062933898
PECOS Enrollment IDI20250310000110
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
80 ELKENBURG ST
SOUTH HAVEN, MI 49090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Vandenboom's NPI number?

The NPI number for Debra Vandenboom is 1043935687. It was assigned to this individual provider in the NPPES registry on October 6, 2022. The provider is also known as Debi Vandenboom.

Where is Debra Vandenboom located?

Debra Vandenboom practices at 80 Elkenburg St, South Haven, MI 49090. The listed phone number is (269) 205-3502.

What is Debra Vandenboom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Debra Vandenboom enrolled in Medicare?

Yes. Debra Vandenboom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Vandenboom accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Debra Vandenboom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Vandenboom was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.