Active NPI
Lorena Velazquez
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1205287968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT126502
- Practice address
- 39155 Liberty St Ste G710
Fremont, CA 94538-1525 - Phone
- (510) 795-2436
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT126502 | CA | Primary |
| Counselor | 101Y00000X | 104235 | CA | |
| Counselor | 101Y00000X | 4742 | CA |
Addresses
Primary practice location
39155 Liberty St Ste G710
Fremont, CA 94538-1525
Mailing address
PO Box 2773
Fremont, CA 94536-0773
Phone (510) 542-0370
Other practice location 1
1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone (408) 284-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104235 | CA | MD | Clinical Social Worker |
| LMFT126502 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1205287968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2773",
"city": "FREMONT",
"state": "CA",
"postal_code": "945360773",
"telephone_number": "510-542-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39155 LIBERTY ST STE G710",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381525",
"telephone_number": "510-795-2436"
}
],
"practiceLocations": [
{
"address_1": "1885 Lundy Ave Ste 223",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951311888",
"country_code": "US",
"telephone_number": "408-284-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "LORENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT126502",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "104235",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "4742",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.