Individual provider Active NPI

Veta Irene Stock, LMFT, CO#1072

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1659719953
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1072 Issued in CO
Practice address
14625 Bermuda Dunes Way
Colorado Springs, CO 80921
Phone
(719) 304-9207
Fax
(719) 481-1428
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 35687 CA
Marriage & Family Therapist 106H00000X 1072 CO Primary

Addresses

Primary practice location

14625 Bermuda Dunes Way
Colorado Springs, CO 80921

Mailing address

14625 Bermuda Dunes Way
Colorado Springs, CO 80921
Phone (719) 304-9207

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

LicenseStateTypeSpecialty
1072COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1659719953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 BERMUDA DUNES WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-304-9207",
            "fax_number": "719-481-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 BERMUDA DUNES WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-304-9207",
            "fax_number": "719-481-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "VETA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LMFT, CO#1072",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35687",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.