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MS. JACQUELINE SUE VANDENBOVENKAMP MA-LPC-ATR
NPI 1659588101
Art Therapist in Boulder, CO

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
4500 19TH ST, LOT 190, BOULDER, CO 80304(303) 641-2718 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Jacqueline Sue Vandenbovenkamp Ma-lpc-atr NPPES

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

MS. JACQUELINE SUE VANDENBOVENKAMP MA-LPC-ATR (NPI 1659588101) is an individual art therapist in Boulder, Colorado, licensed in (05-132) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1659588101
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameMS. JACQUELINE SUE VANDENBOVENKAMPCredential: MA-LPC-ATR
Location Address4500 19TH ST, LOT 190Boulder, CO 80304-0613
Mailing Address4500 19th St, Lot 190Boulder, CO 80304-0613 · (303) 641-2718
Phone(303) 641-2718
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 16, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1659588101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
License✔ Licensed · 05-132
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Also ListedCounselorTaxonomy 101Y00000X · License 3918 (CO)
4500 19TH ST, Boulder, CO 80304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Ms. Jacqueline Sue Vandenbovenkamp Ma-lpc-atr 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 ID3173042389
PECOS Enrollment IDI20250521001159
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Vandenbovenkamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Empower Mental Health LLC
15 mi
Mental Health
340 E 1ST AVE STE 300
Broomfield, CO 80020
  • Reassigned Medicare billing, Colorado enrollment
  • 10 clinicians in this Medicare group
NPI 1699462697 (303) 928-9693

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Vandenbovenkamp's NPI number?

The NPI number for Jacqueline Vandenbovenkamp is 1659588101. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jacqueline Vandenbovenkamp located?

Jacqueline Vandenbovenkamp practices at 4500 19th St Lot 190, Boulder, CO 80304. The listed phone number is (303) 641-2718.

What is Jacqueline Vandenbovenkamp's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

Is Jacqueline Vandenbovenkamp enrolled in Medicare?

Yes. Jacqueline Vandenbovenkamp 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 Jacqueline Vandenbovenkamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Vandenbovenkamp reassigns Medicare benefits to Empower Mental Health LLC (Broomfield, CO). 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 Jacqueline Vandenbovenkamp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Vandenbovenkamp accept?

Health plans from Select Health list Jacqueline Vandenbovenkamp 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 Jacqueline Vandenbovenkamp was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.