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Constance Jo Vandergon , MS, LP

Psychologist - Counseling β€’ Coon Rapids, MN

Active NPI 1265522213 Individual Practitioner Female Practitioner
Practice location in NPPES

1930 Coon Rapids Blvd Nw
Coon Rapids, MN 554334708

Call 7634277964 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1930 Coon Rapids Blvd Nw

Coon Rapids, MN 554334708

Telephone 7634277964
Fax 7634277976
Organization at the Same NPPES Address or Phone
Family Life Mental Health Center Facility NPI 1760489751

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Paul, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coon Rapids and Minnesota

7 active clinicians are listed under Psychologist - Counseling with a practice address in Coon Rapids, MN (390 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES MN LP2496

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

275 4th St E, Ste. 200

Saint Paul, MN 551011696

Phone: 6512561242

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Cheryl Champion , LICSW

Social Worker - Clinical

NPI 1265575542

Licensed Independent Clinical Social Worker

Jennifer Chasco , LICSW

Social Worker - Clinical

NPI 1194271361

Licensed Independent Clinical Social Worker

Dr. Yoshiko Hapke , MD

Psychiatry & Neurology - Psychiatry

NPI 1710949672

Doctor of Medicine (M.D.)

Dr. James Mccoy , MD

Psychiatry & Neurology - Psychiatry

NPI 1972566313

Doctor of Medicine (M.D.)

Elizabeth Mcdevitt , PMNHP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1508337551

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 24, 2018

Registered at 1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 554334708 (Tel: 7634277964)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 275 4TH ST E, STE. 200, SAINT PAUL, MN 551011696 (Tel: 6512561242)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 6867 SHERWOOD RD, WOODBURY, MN 551252483 (Tel: 6513405189)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CONSTANCE VANDERGON, M.S., L.P.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: MN LP2496)

🟒
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265522213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: October 24, 2018
Sole Proprietor: No

Mailing Address

6867 Sherwood Rd

Woodbury, MN 551252483

Phone: 6513405189

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.