Individual provider Active NPI

Lori Renee Lopez, MS

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1194235341
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114916 Issued in CA
Practice address
4441 E Kings Canyon Rd
Fresno, CA 93702
Phone
(559) 600-1980
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114916 CA Primary

Addresses

Primary practice location

4441 E Kings Canyon Rd
Fresno, CA 93702

Mailing address

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180

Other practice location 1

2010 N Fine Ave Ste 105
Fresno, CA 93727
Phone (559) 457-6976

Other practice location 2

2010 N Fine Ave Ste 105
Fresno, CA 93727
Phone (559) 457-6976

Other practice location 3

2010 N Fine Ave Ste 105
Fresno, CA 93727
Phone (559) 457-6976

Other practice location 4

2010 N Fine Ave Ste 105
Fresno, CA 93727
Phone (559) 457-6976

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
114916CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1194235341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-600-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93702",
            "telephone_number": "559-600-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 N Fine Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-457-6976",
            "fax_number": "559-256-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 N Fine Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-457-6976",
            "fax_number": "559-256-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 N Fine Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-457-6976",
            "fax_number": "559-256-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 N Fine Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-457-6976",
            "fax_number": "559-256-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LORI",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.