KATHLEEN ANNE VEENSTRA (NPI# 1245453430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245453430 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE VEENSTRA |
| Credential | LPCC |
| Practice Address |
127 Eastgate Dr Ste 212e Los Alamos NM 87544-3318 |
| Practice Telephone | 5056632726 |
| Practice Fax Number | 5056626645 |
| Mailing Telephone | 5056632726 |
| Mailing Fax Number | 5056626645 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 0671 | NM | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
0671 | NM | Behavioral Health & Social Service Providers |
| Street Address |
127 EASTGATE DR STE 212E |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295968568 | Michael Angelo Lobato | Counselor | 1505 15th St Ste C, Los Alamos, NM 87544-3000 | 2009-09-02 |
| 1720087190 | Charlotte Ann (carter) Lee | Counselor | 555 Oppenheimer Dr, Suite 207, Los Alamos, NM 87544-2384 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313272 | Scarlett Amber-lynn Thompson | Counselor | 913 Hinkle St, Clovis, NM 88101-5846 | 2020-10-11 |
| 1912510611 | Human Potential Arts LLC | Counselor | 4358 Laughing Crow Ln, Santa Fe, NM 87507-2582 | 2020-08-24 |
| 1437761640 | Erycka Mikkal Sanchez | Counselor | 755 S Telshor Blvd Ste 203t, Las Cruces, NM 88011-8679 | 2020-08-19 |
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1730701970 | Jennifer Preslar | Counselor | 4801 Beckner Rd Ste 2750, Santa Fe, NM 87507-3641 | 2020-05-11 |
| 1669093241 | Santa Fe Integrative Therapy | Counselor | 1640 Calle Medico Suite E, Santa Fe, NM 87505-4777 | 2020-05-05 |
| 1871144634 | Alisha O'donovan | Counselor | 1390 S Roosevelt Road 30, Rogers, NM 88132-9724 | 2019-09-24 |
| 1831747088 | The Olivetree | Counselor | 808 Fir St, Truth Or Consequences, NM 87901-1724 | 2019-08-30 |
| 1881249704 | Tamara Leanne Letcher | Counselor | 4143 W Main St, Artesia, NM 88210-9532 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.