Joshua Trent Vander Veen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1488 Issued in OR

Practice address

34455 Yucaipa Blvd # 205206
Yucaipa, CA 92399-2475

Phone

(909) 790-3900

Fax

(909) 768-1006

NPI assigned

Feb 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1831496439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34455 YUCAIPA BLVD # 205206",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992475",
            "telephone_number": "909-790-3900",
            "fax_number": "909-768-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34455 YUCAIPA BLVD # 205206",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992475",
            "telephone_number": "909-790-3900",
            "fax_number": "909-768-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VEEN",
        "first_name": "JOSHUA",
        "middle_name": "TRENT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1488",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "61621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Shack Utumapu, RAS
• Alexandria Valadez
• Roseanne Valdez-Hughes
• Cinthya Vallejo
• Melody Ann Vance
• Cynthia Vanhnarath, CMT
• Brenda Vargas
• Christine De la Paz Vasquez
• Jennifer Velasquez
• Kathleen Velasquez

• Marriage & Family Therapist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.