Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra L Vandenboom, MAPCCLPC

Individual provider Mental Health Counselor · NPI 1043935687

Debra L Vandenboom, MAPCCLPC is a Mental Health Counselor in South Haven, Michigan. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

80 Elkenburg St
South Haven, MI 49090-1275
Phone: (269) 205-3502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1850 Colfax Ave, Benton Harbor, MI 49022-6753 — (269) 926-6199

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401224288 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6451020862 (MI)

Record details

NPI number1043935687
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAPCCLPC
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Haven