Active NPI
Leora Jean Lopez
- Mental Health Counselor
- Simi Valley, CA
National Provider Identifier
1265071880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1227 E Los Angeles Ave
Simi Valley, CA 93065-2871 - Phone
- (805) 205-4710
- NPI assigned
- Dec 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Mailing address
1014 Agusta Ave
Camarillo, CA 93010-3111
Phone (805) 205-4710
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ventura.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1265071880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 AGUSTA AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103111",
"telephone_number": "805-205-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652871",
"telephone_number": "805-205-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LEORA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ventura.org",
"affiliation": "N",
"address_1": "1227 E Los Angeles Ave",
"city": "Simi Valley",
"state": "CA",
"country_code": "US",
"postal_code": "930652871",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.