Rueben Lopez, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015211 Issued in MI

Practice address

4867 E Beltline Ave NE Ste 4
Grand Rapids, MI 49525-9787

Phone

(616) 292-4594

NPI assigned

Oct 3, 2016

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Discoveries LLC

  • Counselor
  • Grand Rapids, MI
  • NPI 1477195246
  NPD Authorized official

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1053860916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 E BELTLINE AVE NE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259787",
            "telephone_number": "616-292-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 E BELTLINE AVE NE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259787",
            "telephone_number": "616-292-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RUEBEN",
        "name_prefix": "Mr.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Lopez
• Jasmine Alexis Lopez
• Joel Guillermo Lopez, M.D.
• Karen Berenise Lopez
• Lisa Ann Lopez
• Sadie Ann Makuch Lopez, CTRS
• Samantha-Jane Lopez
• Sophie Emma Lopez
• Stephenie Lopez, SLP
• Thomas Lopez, LMSW

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.