Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR

Individual provider Counselor · NPI 1659588101

MS. Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR is a Mental Health Counselor in Boulder, Colorado. Qualified in 2002, 24 years ago. Practices with Empower Mental Health LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4500 19th St Lot 190
Boulder, CO 80304-0613
Phone: (303) 641-2718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 05-132
Counselor Taxonomy 101Y00000X · Licence 3918 (CO)

Record details

NPI number1659588101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-LPC-ATR
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Empower Mental Health Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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