Edgar De Van, CAC II
NPI 1215139019 · Addiction (Substance Use Disorder) Counselor · Walsenburg, CO
Edgar De Van, CAC II is a Addiction (Substance Use Disorder) Counselor provider in Walsenburg, CO (NPI 1215139019).
Provider details
- NPI number
- 1215139019
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CAC II
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6541 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edgar De Van's NPI number?
- Edgar De Van's National Provider Identifier (NPI) is 1215139019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgar De Van's specialty?
- Edgar De Van is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Edgar De Van located?
- Edgar De Van's practice location on file with NPPES is 615 Russell Ave, Walsenburg, CO 81089-2127.
- What is Edgar De Van's phone number?
- The practice phone number listed in the NPPES registry for Edgar De Van is (719) 738-2076.
- Is Edgar De Van's NPI active?
- Yes — Edgar De Van's NPI (1215139019) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.