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TIM S. VANDERGAST MA, NCC
NPI 1700087756
Counselor in Concord, NC

Active since May 29, 2007
952 COPPERFIELD BLVD NE, CONCORD, NC 28025(704) 786-7709 Get Directions Write a Review

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

About Tim S. Vandergast Ma, Ncc NPPES

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

TIM S. VANDERGAST MA, NCC (NPI 1700087756) is an individual counselor in Concord, North Carolina, licensed in North Carolina (45941) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700087756
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIM S. VANDERGASTCredential: MA, NCC
Location Address952 COPPERFIELD BLVD NEConcord, NC 28025-2433
Mailing Address3967 Tenneyson CtConcord, NC 28027-8119 · (704) 210-8450
Phone(704) 786-7709
Sole ProprietorNo
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700087756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 45941
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
952 COPPERFIELD BLVD NE, Concord, NC 28025
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Other Providers at the Same Location NPPES 6

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

MR. THOMAS J SMITH NCC, LPC
Counselor (Professional)
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918
MRS. LEAH BLANKENBURG GRANT LCSW
Social Worker (Clinical)
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918
KATIE RUBIN LPC
Counselor (Professional)
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918
SAFE ALLIANCE
Community/Behavioral Health
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918
VANESSA M WALTER LCSWA
Social Worker (Clinical)
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918
MRS. WENDY BALCONI LCSWA
Social Worker (Clinical)
952 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 786-7918

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 Tim Vandergast's NPI number?

The NPI number for Tim Vandergast is 1700087756. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Tim Vandergast located?

Tim Vandergast practices at 952 Copperfield Blvd NE, Concord, NC 28025. The listed phone number is (704) 786-7709.

What is Tim Vandergast's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tim Vandergast 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.