Active NPI
Fred Tony Lopez, LPT
- Mental Health Counselor
- Merced, CA
National Provider Identifier
1356477269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PT15436
- Practice address
- 300 E 15TH St
Marie Green
Merced, CA 95340-6217 - Phone
- (209) 381-6800
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PT15436 | CA | Primary |
Addresses
Primary practice location
300 E 15TH St
Marie Green
Merced, CA 95340-6217
Mailing address
2315 Village Circle Dr
Atwater, CA 95301-2819
Phone (209) 358-3922
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356477269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 VILLAGE CIRCLE DR",
"city": "ATWATER",
"state": "CA",
"postal_code": "953012819",
"telephone_number": "209-358-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 15TH ST",
"address_2": "MARIE GREEN",
"city": "MERCED",
"state": "CA",
"postal_code": "953406217",
"telephone_number": "209-381-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "FRED",
"middle_name": "TONY",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PT15436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
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.