Pura M Lopez Davila, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A9342 Issued in NC

Practice address

315 E Washington St
Greensboro, NC 27401-2911

Phone

(336) 367-8181

Fax

(336) 387-9167

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service of the Piedmont, Inc

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1881773554
  Medicare reassignment NPD
• Family Service of the Piedmont, Inc.

  • Mental Health Counselor
  • High Point, NC
  • NPI 1073154514
  NPD

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1356697395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BONNER DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828948",
            "telephone_number": "336-367-8181",
            "fax_number": "336-387-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WASHINGTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012911",
            "telephone_number": "336-367-8181",
            "fax_number": "336-387-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DAVILA",
        "first_name": "PURA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longs Rest Home for the Aged
• Longs Rest Home III
• Veronica Longville, D.D.S.
• Robert W Lonon, MD
• Christopher M Lootens, M.A.
• Jennifer Lopez Rojas
• Alejandra Lopez
• Imani Shakir Marie Lopez
• Kelli Gaskill Lopez, MSN, PMHNP-BC
• Rosalynne Faith Lopez, MBA, CAM, CPC

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.