Veronica Petkus, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VERONICA PETKUS, LLC

Practice address

418 Treemont Dr
Orange City, FL 32763-7978

Phone

(386) 212-3643

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Veronica Petkus, LMHCNPI 1134530934

Title

Licensed Mental Health Counselor

Phone

(386) 212-3643

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Faye Petkus, MS, LMHC

  • Mental Health Counselor
  • Orange City, FL
  • NPI 1134530934
  NPD (past) Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1780146100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 TREEMONT DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637978",
            "telephone_number": "386-212-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 TREEMONT DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637978",
            "telephone_number": "386-212-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA PETKUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PETKUS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "386-212-3643",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1134530934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Alexander Velazquez
• Evelyn Velez
• Roy Pascual Venzon, M.D.
• Radhika Madaan Verma, MD
• Rinki G Verma, MD
• Darcie Alexandra Via
• Celeste Michelle Vickery, D.O.
• Mamta Ved Vijayvargiya, MD
• Madelyn Vild
• Vinny M Varghese MD PA

• Mental Health Counselor in Orange City, FL
• Providers in Orange City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.