Individual provider Active NPI

Veronica Christiana Cleary, CADC-II, LMFT

  • Marriage & Family Therapist
  • Marina del Rey, CA
National Provider Identifier
1457890576
Registry record updated Apr 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97745 Issued in CA
Practice address
4721 La Villa Marina Unit a
Marina del Rey, CA 90292-7015
Phone
(310) 365-6030
NPI assigned
Feb 22, 2017
Last updated
Apr 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2023

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 97745 CA Primary

Addresses

Primary practice location

4721 La Villa Marina Unit a
Marina del Rey, CA 90292-7015

Mailing address

4721 La Villa Marina Unit a
Marina del Rey, CA 90292-7015
Phone (310) 365-6030

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
97745CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1457890576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 LA VILLA MARINA UNIT A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927015",
            "telephone_number": "310-365-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 LA VILLA MARINA UNIT A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927015",
            "telephone_number": "310-365-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "VERONICA",
        "middle_name": "CHRISTIANA",
        "credential": "CADC-II, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.