Organization Active NPI

Lopez Addison Therapy, LLC

  • Speech-Language Pathologist
  • Metairie, LA
National Provider Identifier
1366988016
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7612 Issued in LA
Legal business name
LOPEZ ADDISON THERAPY, LLC
Practice address
3901 Houma Blvd Ste 108
Metairie, LA 70006-2930
Phone
(504) 784-8840
Fax
(504) 218-5317
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Belen Lopez Addison
Title
Ceo; Speech Language Pathologist
Phone
(504) 784-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7612 LA Primary

Addresses

Primary practice location

3901 Houma Blvd Ste 108
Metairie, LA 70006-2930

Mailing address

3901 Houma Blvd Ste 108
Metairie, LA 70006-2930
Phone (504) 784-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801004699 LA Part B Supplier - Clinic/Group Practice 2860853264 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

151 Ochsner Blvd
Ste F
Gretna, LA 70056
Phone (504) 392-9298

405 Gretna Blvd
Ste 105
Gretna, LA 70053

151 Ochsner Blvd
Gretna, LA 70056
Phone (504) 392-9298

3901 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 455-2638

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1366988016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 108",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-784-8840",
            "fax_number": "504-218-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 108",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-784-8840",
            "fax_number": "504-218-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ ADDISON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "BELEN",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "CEO; SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "504-784-8840"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.