IndividualActive
Constance Vandergon, M.S., L.P.
NPI 1265522213 · Counseling Psychologist · Coon Rapids, MN
Provider details
- NPI number
- 1265522213
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- M.S., L.P.
- Sex
- Female
- Sole proprietor
- No
- License
- LP2496 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
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
2 documented practice locations
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
1930 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-4708
Phone: (763) 427-7964
Fax: (763) 427-7976
Approximate (ZIP-level) locationGet directions
Mailing address
6867 Sherwood Rd
Woodbury, MN 55125-2483
Additional practice locations (1)
- 275 4th St ESte. 200Saint Paul, MN 55101-1696Phone: (651) 256-1242
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.