Active NPI
Anna Lopez, LPCC, PH.D.
- Professional Counselor
- Las Cruces, NM
National Provider Identifier
1417360843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0166021
- Practice address
- 330 N Campo St
Las Cruces, NM 88001-3433 - Phone
- (575) 650-0853
- NPI assigned
- Jun 3, 2014
- Last updated
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0166021 | NM | Primary |
Addresses
Primary practice location
330 N Campo St
Las Cruces, NM 88001-3433
Mailing address
330 N Campo St
Las Cruces, NM 88001-3433
Phone (575) 650-0853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0166021 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1417360843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N CAMPO ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013433",
"telephone_number": "575-650-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N CAMPO ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013433",
"telephone_number": "575-650-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "LPCC, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0166021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.