Penelope Velazquez, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT 18814 Issued in CA

Practice address

2755 Jefferson St
Carlsbad, CA 92008-1737

Phone

(760) 529-9205

Fax

(760) 721-1862

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1578703609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 TROY LN",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545648",
            "telephone_number": "760-722-0908",
            "fax_number": "760-721-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 JEFFERSON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081737",
            "telephone_number": "760-529-9205",
            "fax_number": "760-721-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "PENELOPE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT 18814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Briana Velarde
• Lupita Velasquez
• Cesar Velazquez
• Crystal Velazquez
• David Velazquez
• Alexa Velez Ponce
• Heather Rachele Venditti
• Emily Venisse
• Raul Efren Ventura
• Leah Vergel de Dios, LCSW

• Mental Health Counselor in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.