Individual provider Active NPI

Christina T Veselak, LMFT

  • Marriage & Family Therapist
  • Aurora, CO
National Provider Identifier
1417030842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
464 Issued in CO
Practice address
1450 S Havana St
#712
Aurora, CO 80012-4018
Phone
(303) 888-9617
Fax
(303) 337-5087
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 464 CO Primary

Addresses

Primary practice location

1450 S Havana St
#712
Aurora, CO 80012-4018

Mailing address

1418 Roslyn St
Denver, CO 80220-3148
Phone (303) 888-9617

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
464COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417030842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 ROSLYN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203148",
            "telephone_number": "303-888-9617",
            "fax_number": "303-337-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "#712",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "303-888-9617",
            "fax_number": "303-337-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELAK",
        "first_name": "CHRISTINA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.