Gerardo Domingo Veloz Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1567 SE 176TH Ave
Portland, OR 97233-4730

Phone

(971) 334-5873

NPI assigned

Apr 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1366184525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 SE 176TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 SE 176TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334730",
            "telephone_number": "971-334-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOZ",
        "first_name": "GERARDO",
        "middle_name": "DOMINGO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW NARRATIVE",
            "identifier": "1974",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gerardoveloz@ymail.con",
            "affiliation": "N",
            "address_1": "1567 SE 176th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972334730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Gamble Lynn Velimirovic, LMT
• Elizabeth Ann Velkoff
• John Vella, L.AC.
• Gail Ilene Veloni
• Nicole Veloso, MOT, OTR
• Juehl Marina Veloz
• Larry L. Veltman, M.D.
• Inna V Velychko, M.D.
• Martha Elena Venancio, CNA MHA
• Lawrence Venaska, LCSW

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.