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MR. EDGAR CARL DE VAN III CAC II
NPI 1215139019
Counselor - Addiction (Substance Use Disorder) in Walsenburg, CO

Active since June 04, 2007
615 RUSSELL AVE, WALSENBURG, CO 81089(719) 738-2076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edgar Carl De Van Iii Cac Ii NPPES

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

MR. EDGAR CARL DE VAN III CAC II (NPI 1215139019) is an individual addiction (substance use disorder) provider in Walsenburg, Colorado, licensed in Colorado (6541) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1215139019
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDGAR CARL DE VAN IIICredential: CAC II
Location Address615 RUSSELL AVEWalsenburg, CO 81089-2127
Mailing Address206 W 3rd StWalsenburg, CO 81089-1904 · (719) 738-1082
Phone(719) 738-2076
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215139019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · 6541
615 RUSSELL AVE, Walsenburg, CO 81089
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Other Providers at the Same Location NPPES 5

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

CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES
Counselor (Mental Health)
615 RUSSELL AVE
WALSENBURG, CO 81089
Huerfano County (719) 588-6578
EVA MARIE BENINE
Counselor
615 RUSSELL AVE
WALSENBURG, CO 81089
Huerfano County (719) 738-2076
CROSSROADS TURNING POINTS INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
615 RUSSELL AVE
WALSENBURG, CO 81089
Huerfano County (719) 738-2076
MS. BARBARA JEAN SARGENT CCC-SLP
Speech-Language Pathologist
615 RUSSELL AVE
WALSENBURG, CO 81089
Huerfano County (719) 695-7300
HEATHER BARNES CAS
Counselor (Addiction (Substance Use Disorder))
615 RUSSELL AVE
WALSENBURG, CO 81089
Huerfano County (719) 738-2076

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 Edgar De Van's NPI number?

The NPI number for Edgar De Van is 1215139019. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Edgar De Van located?

Edgar De Van practices at 615 Russell Ave, Walsenburg, CO 81089. The listed phone number is (719) 738-2076.

What is Edgar De Van's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edgar De Van was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.