ML Wellness & Family Counseling, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ML WELLNESS & FAMILY COUNSELING, INC

Practice address

4125 Gagos Dr
Modesto, CA 95356-9411

Phone

(209) 412-3425

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Ezequiel Lopez, LMFTNPI 1104413640

Title

Ceo

Phone

(209) 412-3425

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Ezequiel Lopez

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1104413640
  NPD Authorized official

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1366322976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577924",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577924",
            "telephone_number": "209-412-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 GAGOS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569411",
            "telephone_number": "209-412-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML WELLNESS & FAMILY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "EZEQUIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-412-3425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gradie B Mixon Jr., MD
• Naoki Miyakawa, PA-C, MPAS
• Kimberly Anne Mize
• Carmen Lou Mizera
• Kazuko Kim Mizushima
• Mobility Plus of California
• Navim Mobin, MD
• Modesto Acupuncture
• Modesto Adult Day Program Partners
• Modesto Advanced Diagnostic Imaging Medical Center

• All providers in Modesto, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.