Active NPI
Mary Kristine Lopes
- Social Worker
- Hillsboro, OR
National Provider Identifier
1063997195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 239 NE Lincoln St
Hillsboro, OR 97124-3066 - Phone
- (971) 238-4408
- Fax
- (971) 238-8061
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
239 NE Lincoln St
Hillsboro, OR 97124-3066
Mailing address
239 NE Lincoln St
Hillsboro, OR 97124-3066
Phone (971) 238-4408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ancora Counseling and Therapy Services LLC | Current | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Hillsboro, OR
- NPI 1073271573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1063997195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 NE LINCOLN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971243066",
"telephone_number": "971-238-4408",
"fax_number": "971-238-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 NE LINCOLN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971243066",
"telephone_number": "971-238-4408",
"fax_number": "971-238-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPES",
"first_name": "MARY",
"middle_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.