Jessina Marie Lopez, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

143348 Issued in CA

Practice address

1908 Business Center Dr Ste 220
San Bernardino, CA 92408-3468

Phone

(909) 385-2517

Fax

(951) 436-5359

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1376040329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BUSINESS CENTER DR STE 220",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083468",
            "telephone_number": "909-385-2517",
            "fax_number": "951-436-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BUSINESS CENTER DR STE 220",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083468",
            "telephone_number": "909-385-2517",
            "fax_number": "951-436-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSINA",
        "middle_name": "MARIE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flor Teresa Lopez
• Ilse Natalie Lopez
• Irving Eulises Lopez, LCSW
• Jennifer Lopez
• Jescenda Ariele Lopez, RPE TEMP LICENSE
• Joanne Marrie Lopez
• Kristine Ashley Lopez
• Krystal Ryan Lopez
• Lileana Lopez
• Maria C Lopez, LVN

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.