Active NPI
Veronica Ruth Johnson, LPC
- Clinical Psychologist
- Castle Rock, CO
National Provider Identifier
1487844882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4214
- Practice address
- 734 Wilcox St.
Suite 202
Castle Rock, CO 80104 - Phone
- (720) 935-2663
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4214 | CO | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 701004261 | VA |
Addresses
Primary practice location
734 Wilcox St.
Suite 202
Castle Rock, CO 80104
Mailing address
734 Wilcox St.
Suite 202
Castle Rock, CO 80104
Phone (720) 935-2663
Other names 1
- Veronica Fenske
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
| License | State | Type | Specialty |
|---|---|---|---|
| 701004261 | VA | MD | Psychologist |
| 4214 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1487844882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 WILCOX ST.",
"address_2": "SUITE 202",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "80104",
"telephone_number": "720-935-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 WILCOX ST.",
"address_2": "SUITE 202",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "80104",
"telephone_number": "720-935-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VERONICA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "4214",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "701004261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "FENSKE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.