Individual provider Active NPI

Emma Lopez

  • Addiction (Substance Use Disorder) Counselor
  • Merced, CA
National Provider Identifier
1104357532
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1370391119 Issued in CA
Practice address
1343 W Main St
Merced, CA 95340-4438
Phone
(209) 725-1060
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1370391119 CA Primary

Addresses

Primary practice location

1343 W Main St
Merced, CA 95340-4438

Mailing address

3360 N Highway 59 Ste K
Merced, CA 95348-9405
Phone (209) 628-2997

Other practice location 1

1505 N Chestnut Ave
Fresno, CA 93703-4504
Phone (559) 251-4800

Other practice location 2

3360 N Highway 59 Ste K
Merced, CA 95348
Phone (209) 628-2997

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1370391119CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Medical Group, Inc PastSince Jan 17, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1104357532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 N HIGHWAY 59 STE K",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489405",
            "telephone_number": "209-628-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404438",
            "telephone_number": "209-725-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 N Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937034504",
            "country_code": "US",
            "telephone_number": "559-251-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3360 N Highway 59 Ste K",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "95348",
            "country_code": "US",
            "telephone_number": "209-628-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1370391119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.