Andrea Caroline Lopez, SSP, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2557889 Issued in IL

Practice address

4505 W Deyoung St Ste 203C
Marion, IL 62959-5899

Phone

(618) 283-2222

NPI assigned

Jan 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Therapeutic, Education, and Career Services, Inc.

  • Counselor
  • Marion, IL
  • NPI 1043631351
  NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1023820263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 BOSKYDELL RD APT 23",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629026107",
            "telephone_number": "618-571-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W DEYOUNG ST STE 203C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595899",
            "telephone_number": "618-283-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANDREA",
        "middle_name": "CAROLINE",
        "credential": "SSP, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2557889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xingtong Liu
• Monette R Logue, BSW
• Kathy Amanda Long, ARNP-BC
• Mary Elizabeth Long, RN
• Sandra Kay Long, RD, LD
• Luis A Lopez, M.D.
• Daniele Christine Loyd, RN
• Linda J H Lucas, O.D.
• Cathy Elizabeth Ludwig Bell, PHD. RD, LD
• Tamothy Lumpkins

• School Psychologist in Marion, IL
• Providers in Marion, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.