Individual provider Active NPI

Maria Lopez, MA, LPC, NCC

  • Professional Counselor
  • Media, PA
National Provider Identifier
1013735117
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017658 Issued in PA
Practice address
77 W Baltimore Pike Ste 100a
Media, PA 19063-5637
Phone
(610) 717-5299
NPI assigned
Sep 28, 2024
Last updated
Sep 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC017658 PA
Professional Counselor 101YP2500X PC017658 PA Primary

Addresses

Primary practice location

77 W Baltimore Pike Ste 100a
Media, PA 19063-5637

Mailing address

148 Schoolview LN
Oxford, PA 19363-2001
Phone (610) 212-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002289 PA Practitioner - Mental Health Counselor 6103351275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Psychological Associates LLCGroup PAC ID 3173950961, 4 clinicians

Practice addresses (Care Compare)

77 W Baltimore Pike
Suite 100a
Media, PA 19063-5637
Phone (610) 717-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC017658PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Psychological Associates LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

77 W Baltimore Pike
Ste 100A
Media, PA 19063
Phone (610) 717-5299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1013735117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SCHOOLVIEW LN",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632001",
            "telephone_number": "610-212-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635637",
            "telephone_number": "610-717-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIA",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017658",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.