Active NPI
Veronica Velasco, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1790917201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 5425 Oberlin Drive
Suite 210
San Diego, CA 92121 - Phone
- (619) 800-2617
- NPI assigned
- Aug 17, 2009
- 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 | 104761 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
5425 Oberlin Drive
Suite 210
San Diego, CA 92121
Mailing address
5425 Oberlin Drive
Suite 210
San Diego, CA 92121-1703
Phone (619) 800-2617
Other practice location 1
505 N Euclid St
Anaheim, CA 92801-5506
Phone (714) 871-5646 ext. 4259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104761 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accepting Me Therapy | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1891287660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1790917201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 OBERLIN DRIVE",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211703",
"telephone_number": "619-800-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 OBERLIN DRIVE",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "619-800-2617"
}
],
"practiceLocations": [
{
"address_1": "505 N Euclid St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928015506",
"country_code": "US",
"telephone_number": "714-871-5646 x4259",
"fax_number": "714-817-7368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASCO",
"first_name": "VERONICA",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104761",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.