Mark Anthony Vellucci, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004640 Issued in WA

Practice address

11818 SE Mill Plain Blvd
Suite 311C
Vancouver, WA 99684

Phone

(360) 571-3981

Fax

(503) 578-2454

NPI assigned

Sep 7, 2006

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1164525580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD STE 311C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845091",
            "telephone_number": "360-571-3981",
            "fax_number": "503-578-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD",
            "address_2": "SUITE 311C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "99684",
            "telephone_number": "360-571-3981",
            "fax_number": "503-578-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLUCCI",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Velazquez, CBT
• Maria Velazquez, B.S.
• Nicole Elizabeth Velazquez
• Erik Michael Velez, MD
• Ruth Velez, MSW, LSWAIC
• Madison Veltkamp
• Aleksandra S Velychko, EFDA
• Amanda Karin Veneklasen
• Leann Veneklasen
• Rajeswari Venkatesh

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.