Rosa Angela Lopez, MC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APCC4775 Issued in CA

Practice address

13800 Heacock St Ste D111
Moreno Valley, CA 92553-3340

Phone

(951) 653-1800

Fax

(951) 653-1815

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• El Centro del Pueblo, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1174727515
  NPD (past)
• Special Service for Groups, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moreno Valley, CA
  • NPI 1093217614
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235658956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE D111",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533340",
            "telephone_number": "951-653-1800",
            "fax_number": "951-653-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE D111",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533340",
            "telephone_number": "951-653-1800",
            "fax_number": "951-653-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 Lemoyne St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900263206",
            "country_code": "US",
            "telephone_number": "213-483-6335",
            "fax_number": "213-484-8904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1157 Lemoyne St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90026",
            "country_code": "US",
            "telephone_number": "213-483-6335",
            "fax_number": "213-484-8904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROSA",
        "middle_name": "ANGELA",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC4775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katyuska Paredes Lopez, DDS
• Kelly Paola Lopez, BCBA
• Libier Moreno Lopez, ASW
• Miguel Angel Lopez
• Nancy Lopez, B.S.
• Valentin Lopez, COUNSELOR
• Yannin Lopez
• Kristen Bernardino Lorenz
• Alfredo Loreto, PT, DPT
• Krystal Ann Lott, NP

• Professional Counselor in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.