Individual provider Active NPI

Jennifer Lopez, LMFT

  • Marriage & Family Therapist
  • Colton, CA
National Provider Identifier
1235553397
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130933 Issued in CA
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

Updated by the provider on May 1, 2023

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 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

IdentifierTypeStateIssuer
1235553397OtherCAPRIVATE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
130933CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Caregiver Resource Center CurrentSince Feb 6, 2022 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.

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.

Verify at the official NPI Registry.