Individual provider Active NPI

Jeannette Lopez, AMFT

  • Marriage & Family Therapist
  • Claremont, CA
National Provider Identifier
1275119885
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122160 Issued in CA
Practice address
435 Yale Ave
Claremont, CA 91711-4340
Phone
(909) 575-4217
Fax
(909) 621-0614
NPI assigned
Mar 23, 2021
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 122160 CA Primary

Addresses

Primary practice location

435 Yale Ave
Claremont, CA 91711-4340

Mailing address

435 Yale Ave
Claremont, CA 91711-4340
Phone (909) 417-1021

Other practice location 1

38345 30th St E Ste C2
Palmdale, CA 93550-4982
Phone (661) 461-7465

Other practice location 2

16600 Sherman Way Ste 280
Van Nuys, CA 91406-3785
Phone (818) 221-1572

Other identifiers 3

IdentifierTypeStateIssuer
1629809579OtherCAHQ
1407660251OtherCASFV
1871324046OtherCAAV

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
122160CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parents Anonymous Inc. Marriage & Family Therapist PastSince Feb 1, 2025 Accepting new patients
Parents Anonymous Inc. Marriage & Family Therapist PastSince Feb 1, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1275119885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 YALE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114340",
            "telephone_number": "909-417-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 YALE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114340",
            "telephone_number": "909-575-4217",
            "fax_number": "909-621-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38345 30th St E Ste C2",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935504982",
            "country_code": "US",
            "telephone_number": "661-461-7465",
            "fax_number": "909-667-8148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 Sherman Way Ste 280",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063785",
            "country_code": "US",
            "telephone_number": "818-221-1572",
            "fax_number": "909-667-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEANNETTE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HQ",
            "identifier": "1629809579",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFV",
            "identifier": "1407660251",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV",
            "identifier": "1871324046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.