Active NPI
Liberty Davis Veedon, LCSW
- Mental Health Counselor
- Sarasota, FL
National Provider Identifier
1275931578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW12241
- Practice address
- 2801 Fruitville Rd Ste 110
Sarasota, FL 34237-5336 - Phone
- (941) 313-5333
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW12241 | FL | Primary |
Addresses
Primary practice location
2801 Fruitville Rd Ste 110
Sarasota, FL 34237-5336
Mailing address
2801 Fruitville Rd Ste 110
Sarasota, FL 34237-5336
Phone (941) 313-5333
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12241 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1275931578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 FRUITVILLE RD STE 110",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375336",
"telephone_number": "941-313-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRUITVILLE RD STE 110",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375336",
"telephone_number": "941-313-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEEDON",
"first_name": "LIBERTY",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW12241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.