Veronica Marvan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180009677 Issued in IL

Practice address

287 Lorton Ave
Burlingame, CA 94010-4203

Phone

(877) 505-7147

NPI assigned

May 3, 2020

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

Electronic endpoints 1

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": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1235750035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2575",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 LORTON AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104203",
            "telephone_number": "877-505-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVAN",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lockport",
            "affiliation": "N",
            "address_1": "16810 Swift Arrow Dr",
            "city": "Lockport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604414377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angie Marshall, MA, CCC-SLP
• Tracy Marshall
• Martha Pollock LCSW
• Monica Martines, R.D.
• Thomas J Martz, RN
• Charlene Marvive, DPT, PT
• Venkat Masarapu
• Lorraine Marlin Massa, MD
• Britney Massimino
• James Anthony Mazzone II, PH.D.

• Mental Health Counselor in Burlingame, CA
• Providers in Burlingame, 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 17, 2021; 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.