Active NPI
Diana Lopez, MA LPCC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1356468375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0944
- Practice address
- 6301 Central Ave NW
Albuquerque, NM 87105-2036 - Phone
- (505) 831-6038
- Fax
- (505) 352-3400
- NPI assigned
- Mar 23, 2007
- 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 | 0944 | NM | Primary |
Addresses
Primary practice location
6301 Central Ave NW
Albuquerque, NM 87105-2036
Mailing address
6301 Central Ave NW
Albuquerque, NM 87105-2036
Phone (505) 831-6038
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0944 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356468375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 CENTRAL AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871052036",
"telephone_number": "505-831-6038",
"fax_number": "505-352-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 CENTRAL AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871052036",
"telephone_number": "505-831-6038",
"fax_number": "505-352-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DIANA",
"credential": "MA LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.