Individual provider Active NPI

Veronica Velasquez-Rodarte

  • Marriage & Family Therapist
  • Lake Forest, CA
National Provider Identifier
1619228293
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-101558 Issued in CA
Practice address
20702 El Toro Rd Apt 57
Lake Forest, CA 92630-6105
Phone
(562) 686-4216
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-101558 CA Primary
Mental Health Counselor 101YM0800X LMFT101558 CA

Addresses

Primary practice location

20702 El Toro Rd Apt 57
Lake Forest, CA 92630-6105

Mailing address

20702 El Toro Rd Apt 57
Lake Forest, CA 92630-6105
Phone (562) 686-4216

Other identifiers 1

IdentifierTypeStateIssuer
LMFT101558OtherCABBS

Other names 1

  • Ms. Veronica Velasquez-Rodarte Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT101558CAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.veronicavalazquezrodarte@148377.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1619228293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20702 EL TORO RD APT 57",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306105",
            "telephone_number": "562-686-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20702 EL TORO RD APT 57",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306105",
            "telephone_number": "562-686-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ-RODARTE",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT-101558",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT101558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "LMFT101558",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "VELASQUEZ-RODARTE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.