Active NPI
Sara Lopez, LCPC-C
- Professional Counselor
- Newport, ME
National Provider Identifier
1275968877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL4003
- Practice address
- 442 Moosehead TRL
Newport, ME 04953-4004 - Phone
- (207) 942-3816
- Fax
- (207) 561-4725
- NPI assigned
- Sep 13, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL4003 | ME | Primary |
Addresses
Primary practice location
442 Moosehead TRL
Newport, ME 04953-4004
Mailing address
29 Franklin St
Bangor, ME 04401-4909
Phone (207) 942-3816
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 |
|---|---|---|---|
| XL4003 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Occupational Exchange, Inc | Professional | Past | Accepting new patients |
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": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1275968877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 FRANKLIN ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014909",
"telephone_number": "207-942-3816",
"fax_number": "207-561-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 MOOSEHEAD TRL",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534004",
"telephone_number": "207-942-3816",
"fax_number": "207-561-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SARA",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL4003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.