MRS. ELLEN VEENSTRA M.A.
NPI 1003000878
Counselor in Glendale, CA

Q: What is Ellen Veenstra's NPI number?

The NPI number for Ellen Veenstra is 1003000878. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Q: What is Ellen Veenstra's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Ellen Veenstra enrolled in Medicare?

No. Ellen Veenstra has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ellen Veenstra was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2007Opted out of Medicare · through Jan 1, 2028

1540 E COLORADO ST, GLENDALE, CA 91205(818) 244-7257(818) 243-5431 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Ellen Veenstra M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLEN VEENSTRA M.A. (NPI 1003000878) is an individual counselor in Glendale, California and active in the NPI registry since September 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1003000878

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. ELLEN VEENSTRACredential: M.A.

Location Address1540 E COLORADO STGlendale, CA 91205-1514

Mailing Address312 E Cedar Ave, Unit JBurbank, CA 91502-1463 · (616) 560-6674

Phone(818) 244-7257

Fax(818) 243-5431

Sole ProprietorYes

Enumeration DateSeptember 5, 2007

✔ NPI 1003000878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

1540 E COLORADO ST, Glendale, CA 91205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Ellen Veenstra M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RENAE MARISSA DIENER M.A.

Counselor (Mental Health)