Individual provider Active NPI

Thomas P Lopez, MA

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1396306171
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7 Prospect St
Nashua, NH 03060-3921
Phone
(603) 889-6147
Fax
(603) 883-1568
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7 Prospect St
Nashua, NH 03060-3921

Mailing address

7 Prospect St
Nashua, NH 03060-3921
Phone (603) 889-6147

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240518000102 NH Practitioner - Mental Health Counselor 5496196636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wanderlust Therapeutic Services PLLCGroup PAC ID 7012322753, 13 clinicians

Practice addresses (Care Compare)

400 Amherst St
Suite 200
Nashua, NH 03063-4223
Phone (603) 889-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2785NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wanderlust Therapeutic Services, PLLC CurrentSince May 9, 2024 Accepting new patients

Locations

400 Amherst St
Ste 200
Nashua, NH 03063
Phone (603) 205-3623

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1396306171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603921",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603921",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.