Active NPI
Maria Guadalupe Lopez Pacheco
- Professional Counselor
- Modesto, CA
National Provider Identifier
1104509652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ASW141613
- Practice address
- 1700 McHenry Village Way Ste 14
Modesto, CA 95350-4339 - Phone
- (209) 312-9580
- Fax
- (209) 312-9584
- NPI assigned
- Aug 10, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ASW141613 | CA | Primary |
Addresses
Primary practice location
1700 McHenry Village Way Ste 14
Modesto, CA 95350-4339
Mailing address
100 Poplar Ave
Modesto, CA 95354-0510
Phone (209) 669-6771
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Vista Child & Family Services | Past | 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.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1821396276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1104509652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 POPLAR AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540510",
"telephone_number": "209-669-6771",
"fax_number": "209-669-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MCHENRY VILLAGE WAY STE 14",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504339",
"telephone_number": "209-312-9580",
"fax_number": "209-312-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ PACHECO",
"first_name": "MARIA",
"middle_name": "GUADALUPE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW141613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.