DEBRA L VANDENBOOM MAPCC LPC
NPI 1043935687
Counselor - Mental Health in South Haven, MI
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Debra Vandenboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Haven, MI 49090
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Debra Vandenboom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Vandenboom reassigns Medicare benefits to Mjr Wellness Counseling, PLLC (South Haven, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Vandenboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Vandenboom accept?
Health plans from Priority Health and UnitedHealthcare 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.
# Debra L Vandenboom, MAPCC LPC · NPI 1043935687
Mental Health provider in South Haven, Michigan. Individual provider, active in the CMS NPPES registry since October 6, 2022.
## Identity
- **NPI:** 1043935687 (Entity type: Individual)
- **Enumerated:** October 6, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401224288 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 ELKENBURG ST, South Haven, MI 49090-1275
- **Phone:** (269) 205-3502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mjr Wellness Counseling, PLLC (NPI 1548936214, South Haven, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043935687) · Data from the CMS NPPES public registry.