Active NPI
Edward Velasco, MSW
- Mental Health Counselor
- Pico Rivera, CA
National Provider Identifier
1609052737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9033 Washington Blvd
Pico Rivera, CA 90660-3839 - Phone
- (562) 942-9625
- NPI assigned
- Jan 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9033 Washington Blvd
Pico Rivera, CA 90660-3839
Mailing address
2075 Glen Ave
Pasadena, CA 91103-1523
Phone (323) 296-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ICAN789 | Other | CA | DMH STAFF CODE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chcada/Enhanced Specialized Foster Care Mental HLTH Services | Past | Accepting new patients | |
| California Hispanic Commission a & D Abuse | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1902055163
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1588860910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1609052737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 GLEN AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031523",
"telephone_number": "323-296-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 WASHINGTON BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603839",
"telephone_number": "562-942-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-18",
"last_updated": "2011-05-13",
"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": "DMH STAFF CODE",
"identifier": "ICAN789",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.