Staysha Veal, LMFT, DMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT99184 Issued in CA

Practice address

2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655

Phone

(707) 399-4847

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Staysha Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vital Total Health Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1386107928
  Medicare reassignment NPD
• Wholistic Expressions Marriage and Family Therapy Services Inc.

  • Mental Health Counselor
  • Fairfield, CA
  • NPI 1023983921
  NPD Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1184031882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 SHAVER ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337174",
            "telephone_number": "510-417-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CLAY BANK RD BLDG 8",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331655",
            "telephone_number": "707-399-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "STAYSHA",
        "name_prefix": "Dr.",
        "credential": "LMFT, DMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT99184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STAYSHA",
            "last_name": "SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rasheema Lashay Vaughn
• Christian Vazquez
• Michelle Vazquez
• Yesenia Vazquez
• VCVG Harris, Inc.
• Anita Elena Vega-Vasquez
• Vanessa Vega
• Andrea Fe Vela
• Mariyah Velarde-Greene, SLPA
• Arvin Velarde

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, 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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.