Individual provider Active NPI

Laurence Lopez Lopez

  • Marriage & Family Therapist
  • Nashville, TN
National Provider Identifier
1316570146
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1924 Issued in TN
Practice address
2400 White Ave
Nashville, TN 37204-2235
Phone
(615) 460-4200
NPI assigned
Feb 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 1924 TN Primary

Addresses

Primary practice location

2400 White Ave
Nashville, TN 37204-2235

Mailing address

1515 5TH Ave N Apt 424
Nashville, TN 37208-2878
Phone (719) 217-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000242 CO Practitioner - Marriage and Family Therapist 5395283782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Practice addresses (Care Compare)

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1924TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling CurrentSince Jul 1, 2024 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Feb 23, 2020 Accepting new patients
Centerstone of Tennessee, Inc. PastSince Feb 23, 2020 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2400 White Ave
Nashville, TN 37204
Phone (615) 460-4200

Organizations & group practices 3

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1316570146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 5TH AVE N APT 424",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082878",
            "telephone_number": "719-217-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WHITE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042235",
            "telephone_number": "615-460-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LAURENCE",
        "middle_name": "LOPEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.