Jaqueline Lopez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

03229 Issued in KS

Practice address

889 N Maize Rd Ste 200
Wichita, KS 67212-4559

Phone

(316) 518-0381

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

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.

• Soma Recovery LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1750850723

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1346836087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N WACO AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033939",
            "telephone_number": "316-201-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 N MAIZE RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124559",
            "telephone_number": "316-518-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Waco Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033939",
            "country_code": "US",
            "telephone_number": "316-201-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03217-T",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jordan Loomis, DDS
• Vanessa Stelter Loomis, MD
• Brett Allan Looper, PA-C
• Lucas Lopes, MD
• Alma I Lopez
• Lily Lopez
• Lindsay Ann Lopez, LTMFT
• Shelby Nicole Lopez
• Thalia J Lopez, MD
• Venessa Lopez, MD

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.