Provider Demographics
NPI:1144945007
Name:VANDERIET, EMMA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:VANDERIET
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 STRAIGHT CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8978
Mailing Address - Country:US
Mailing Address - Phone:602-930-8892
Mailing Address - Fax:
Practice Address - Street 1:588 N US HIGHWAY 287 STE 200
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2615
Practice Address - Country:US
Practice Address - Phone:720-387-8458
Practice Address - Fax:720-306-5190
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.001926101YM0800X
COLPC.0021804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health