Active NPI
Rosaura Arenas Lopez
- Professional Counselor
- Salem, OR
National Provider Identifier
1033539622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7405
- Practice address
- 965 Liberty St SE
Salem, OR 97302-4138 - Phone
- (503) 588-2004
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Professional Counselor | 101YP2500X | C7405 | OR | Primary |
Addresses
Primary practice location
965 Liberty St SE
Salem, OR 97302-4138
Mailing address
3180 Center St Suit 2370
Salem, OR 97301
Phone (503) 373-3785
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
| License | State | Type | Specialty |
|---|---|---|---|
| C7405 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polk Yamhill & Marion Child Treatment Services Inc | Clinical | Current | Accepting new patients |
Locations
965 Liberty St SE
Salem, OR 97302
Phone (503) 588-2004
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1033539622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 CENTER ST SUIT 2370",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-373-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024138",
"telephone_number": "503-588-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROSAURA",
"middle_name": "ARENAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.