Active NPI
Jennifer Lopez, LMFT
- Marriage & Family Therapist
- Colton, CA
National Provider Identifier
1235553397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130933
- Practice address
- 1430 E Cooley Dr Ste 240
Colton, CA 92324-3936 - Phone
- (800) 675-6694
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 130933 | CA | Primary |
Addresses
Primary practice location
1430 E Cooley Dr Ste 240
Colton, CA 92324-3936
Mailing address
5172 Arlington Ave # 4221
Riverside, CA 92504-2686
Phone (951) 858-8753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235553397 | Other | CA | PRIVATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlopez@inlandcaregivers.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 130933 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Caregiver Resource Center | Current | Accepting new patients |
Locations
1430 E Cooley Dr
Ste 240
Colton, CA 92324
Phone (800) 675-6694
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.
-
- Voluntary or Charitable Agency
- Colton, CA
- NPI 1174014476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1235553397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5172 ARLINGTON AVE # 4221",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042686",
"telephone_number": "951-858-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E COOLEY DR STE 240",
"city": "COLTON",
"state": "CA",
"postal_code": "923243936",
"telephone_number": "800-675-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENNIFER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "1235553397",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlopez@inlandcaregivers.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Colton",
"address_1": "1430 E Cooley Dr Ste 240",
"city": "Colton",
"state": "CA",
"country_code": "US",
"postal_code": "923243936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.