Individual provider Active NPI

Rachel Alyssa Lopez de Castilla Wooden, LMFT

  • Marriage & Family Therapist
  • Abilene, TX
National Provider Identifier
1093408528
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203431 Issued in TX
Practice address
857 Flat Water Dr
Abilene, TX 79602-7053
Phone
(210) 452-7626
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203431 TX Primary

Addresses

Primary practice location

857 Flat Water Dr
Abilene, TX 79602-7053

Mailing address

857 Flat Water Dr
Abilene, TX 79602-7053
Phone (210) 452-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203431TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1093408528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 FLAT WATER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027053",
            "telephone_number": "210-452-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 FLAT WATER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027053",
            "telephone_number": "210-452-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE CASTILLA WOODEN",
        "first_name": "RACHEL",
        "middle_name": "ALYSSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.