Individual provider Active NPI

Lily Bateman-Lopez, LPC

  • Mental Health Counselor
  • Tierra Amarilla, NM
National Provider Identifier
1124227798
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1675 Issued in NM
Practice address
US 84 CR 324 #14
Tierra Amarilla, NM 87575-0250
Phone
(505) 588-9506
Fax
(505) 588-7188
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 1675 NM Primary

Addresses

Primary practice location

US 84 CR 324 #14
Tierra Amarilla, NM 87575-0250

Mailing address

PO Box 263
Tierra Amarilla, NM 87575-0263
Phone (505) 588-7205

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
1675NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1124227798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750263",
            "telephone_number": "505-588-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US 84 CR 324 #14",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750250",
            "telephone_number": "505-588-9506",
            "fax_number": "505-588-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN-LOPEZ",
        "first_name": "LILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tierra Amarilla, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.