Individual provider Active NPI

Kathleen Anne Veenstra, LPCC

  • Mental Health Counselor
  • Los Alamos, NM
National Provider Identifier
1245453430
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0671 Issued in NM
Practice address
127 Eastgate Dr Ste 212E
Los Alamos, NM 87544-3318
Phone
(505) 663-2726
Fax
(505) 662-6645
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0671 NM
Mental Health Counselor 101YM0800X 0671 NM Primary

Addresses

Primary practice location

127 Eastgate Dr Ste 212E
Los Alamos, NM 87544-3318

Mailing address

127 Eastgate Dr Ste 212E
Los Alamos, NM 87544-3318
Phone (505) 663-2726

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

LicenseStateTypeSpecialty
0671NMMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245453430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EASTGATE DR STE 212E",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443318",
            "telephone_number": "505-663-2726",
            "fax_number": "505-662-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EASTGATE DR STE 212E",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443318",
            "telephone_number": "505-663-2726",
            "fax_number": "505-662-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENSTRA",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0671",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.