Mary Luisa Velasquez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42882 Issued in CA

Practice address

5044 Eagle Rock Blvd. #6
Los Angeles, CA 90041-2054

Phone

(818) 209-6361

Fax

(328) 967-2872

NPI assigned

Apr 4, 2007

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

Other names 1

• Maria Luisa Velasquez Other name

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1871615476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 EAGLE ROCK BLVD. #6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412054",
            "telephone_number": "818-209-6361",
            "fax_number": "328-967-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 EAGLE ROCK BLVD. #6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412054",
            "telephone_number": "818-209-6361",
            "fax_number": "328-967-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MARY",
        "middle_name": "LUISA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "VELASQUEZ",
            "middle_name": "LUISA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Natalie Velasquez
• Lizbeth Velasquez
• Luis David Velasquez
• Maria Velasquez
• Maria Cristina Velasquez
• Michelle Velasquez
• Nicole Jillian Velasquez, PA-C
• Oscar Noel Velasquez
• Rafael Velasquez
• Ricardo Anderson Velasquez

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Sep 25, 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.