Individual provider Active NPI

Veronica Lee Lestina, LCP, LMHC

  • Forensic Psychologist
  • Fort Madison, IA
National Provider Identifier
1952558959
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
071007891 Issued in IL
Practice address
802 Avenue G
Fort Madison, IA 52627-4557
Phone
(319) 669-9131
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00998 IA
Clinical Psychologist 103TC0700X 071007891 IL
Forensic Psychologist 103TF0200X 00998 IA
Forensic Psychologist 103TF0200X 071007891 IL Primary

Addresses

Primary practice location

802 Avenue G
Fort Madison, IA 52627-4557

Mailing address

P.O. Box 334
Fort Madison, IA 52627
Phone (319) 669-9131

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

LicenseStateTypeSpecialty
00998IAMDMental Health Counselor
071007891ILMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1952558959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 334",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "52627",
            "telephone_number": "319-669-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274557",
            "telephone_number": "319-669-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTINA",
        "first_name": "VERONICA",
        "middle_name": "LEE",
        "credential": "LCP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00998",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007891",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "IA",
            "license": "00998",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "IL",
            "license": "071007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.