Venessa Rene Leyva, AMFT, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

104060 Issued in CA

Practice address

1131 San Felipe Rd
Hollister, CA 95023-2800

Phone

(831) 636-4020

Fax

(831) 636-4025

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1043756430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SAN FELIPE RD",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232800",
            "telephone_number": "831-636-4020",
            "fax_number": "831-636-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SAN FELIPE RD",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232800",
            "telephone_number": "831-636-4020",
            "fax_number": "831-636-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Holt Ave",
            "address_2": "B",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917675406",
            "country_code": "US",
            "telephone_number": "909-620-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "VENESSA",
        "middle_name": "RENE",
        "credential": "AMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "104060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus M Leon, MD
• Kristian Lerma, RDHAP
• Anna Marie Lewellen, MPT
• Miguel Alcantar Leyva
• Ruby Leyva, MFT
• Oskar Lizarraga-Davis, P.A.-C
• Lindsey Nicole Lomanto
• Crystal Lopez Cimental
• Carolina Lopez
• Elidia Lopez, MEDICAL ASSISTANT

• Mental Health Counselor in Hollister, CA
• Providers in Hollister, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.