Active NPI
Veronica Velasquez-Rodarte
- Marriage & Family Therapist
- Lake Forest, CA
National Provider Identifier
1619228293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-101558
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT101558 | Other | CA | BBS |
Other names 1
- Ms. Veronica Velasquez-Rodarte
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT101558 | CA | MD | Mental Health Counselor |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.