Individual provider Active NPI

James Lopez

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1053815894
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0215081 Issued in NM
Practice address
6121 Indian School Rd NE Ste 141
Albuquerque, NM 87110-3176
Phone
(505) 888-1362
NPI assigned
Mar 19, 2018
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0215081 NM Primary

Addresses

Primary practice location

6121 Indian School Rd NE Ste 141
Albuquerque, NM 87110-3176

Mailing address

6121 Indian School Rd NE Ste 141
Albuquerque, NM 87110-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20260617000105 NM Practitioner - Mental Health Counselor 9032681408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Unser Blvd SE
Suite 200
Rio Rancho, NM 87124-4660

5101 Rio Las Vacas PL NW
Albuquerque, NM 87114-4799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0215081NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jumpstart, LLC PastSince Apr 1, 2021 Accepting new patients
Jumpstart, LLC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1053815894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-888-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0215081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.