Individual provider Active NPI

Ashley Nicole Lopez

  • Professional Counselor
  • Mission, TX
National Provider Identifier
1093556680
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
905888 Issued in TX
Practice address
611 N Bryan Rd
Mission, TX 78572-6285
Phone
(956) 580-3303
Fax
(956) 580-1505
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 905888 TX Primary

Addresses

Primary practice location

611 N Bryan Rd
Mission, TX 78572-6285

Mailing address

PO Box 1689
Pharr, TX 78577-1630
Phone (956) 787-8915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240930001560 TX Practitioner - Mental Health Counselor 8921539172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuestra Clinica del Valle, Inc.Group PAC ID 8921916552, 28 clinicians

Practice addresses (Care Compare)

611 N Bryan Rd
Mission, TX 78572-6285
Phone (956) 580-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
905888TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Interoperability endpoints

  • Direct secure messaging: ashley.lopez@ncdv.eclinicaldirectplus.com

Organizations & group practices 2

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093556680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771630",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726285",
            "telephone_number": "956-580-3303",
            "fax_number": "956-580-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "905888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.