Individual provider Active NPI

Cinthia Lopez

  • Mental Health Counselor
  • El Monte, CA
National Provider Identifier
1104487867
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89266 Issued in CA
Practice address
3569 Lexington Ave
El Monte, CA 91731-2607
Phone
(626) 453-3399
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89266 CA Primary

Addresses

Primary practice location

3569 Lexington Ave
El Monte, CA 91731-2607

Mailing address

528 Dunsview Ave
La Puente, CA 91744-4210
Phone (626) 484-9387

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Desktop
CONNECT URL desktop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220913000547 CA Order and Referring Only - Clinical Social Worker 7618352683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89266CAMDMental Health Counselor

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1104487867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 DUNSVIEW AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444210",
            "telephone_number": "626-484-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 LEXINGTON AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312607",
            "telephone_number": "626-453-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CINTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "89266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "3569 Lexington Ave",
            "city": "El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917312607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "3569 Lexington Ave",
            "city": "El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917312607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.