Dina Rose Velazquez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102426 Issued in CA

Practice address

500 Lemon Pepper PL
Wendell, NC 27591-8948

Phone

(510) 504-2919

NPI assigned

Aug 23, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1689286338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LEMON PEPPER PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275918948",
            "telephone_number": "510-504-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEMON PEPPER PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275918948",
            "telephone_number": "510-504-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "DINA",
        "middle_name": "ROSE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wendell",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Lemon Pepper Pl",
            "city": "Wendell",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275918948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Unity Haven of NC LLC
• Universal Mental Health Services, Inc.
• Unlimited Professions LLC
• Vardy Chiropractic and Wellness Clinics
• Mark Vardy, DC
• Beatrice Vines, O.T.
• Vinson Therapy
• Christopher Kien Vo, DDS
• Wake Emergency Physicians PA
• Katherine E Walden, CD

• All providers in Wendell, NC
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.