Individual provider Active NPI

Veronica Gaytan de la Rosa, LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1265261192
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85779 Issued in TX
Practice address
345 Owen Lane
Suite 102
Waco, TX 76710
Phone
(512) 686-6012
Fax
(512) 842-7227
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 85779 TX Primary

Addresses

Primary practice location

345 Owen Lane
Suite 102
Waco, TX 76710

Mailing address

208 Hewitt Dr.
Suite 103 #218
Waco, TX 76712-6693
Phone (512) 686-6012

Other names 1

  • Mrs. Veronica Gaytan Professional name

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
85779TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Get Out of Your Head Therapy, LLC Professional CurrentSince Aug 4, 2024 Accepting new patients

Locations

345 Owen Ln
Ste 102
Waco, TX 76710
Phone (512) 686-6012

208 Hewitt Dr
Ste 103
Woodway, TX 76712
Phone (512) 686-6012

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265261192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HEWITT DR.",
            "address_2": "SUITE 103 #218",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126693",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OWEN LANE",
            "address_2": "SUITE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN DE LA ROSA",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "GAYTAN",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.