Individual provider Active NPI

Lydia Ann Storey-Lopez, LPC. LAC

  • Professional Counselor
  • Olathe, CO
National Provider Identifier
1447660915
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0013513 Issued in CO
Practice address
3431 Highway 348
Olathe, CO 81425-9744
Phone
(970) 596-4590
Fax
(970) 245-7493
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0013513 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001487 CO

Addresses

Primary practice location

3431 Highway 348
Olathe, CO 81425-9744

Mailing address

3431 Highway 348
Olathe, CO 81425-9744
Phone (970) 596-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240715004173 CO Practitioner - Mental Health Counselor 7113462052 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
Group practices

Practice addresses (Care Compare)

2708 Patterson Rd
Grand Junction, CO 81506-4031
Phone (970) 243-9539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001487COMDAddiction (Substance Use Disorder) Counselor
LPC0013513COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Enriched Communications, Inc. CurrentSince Jun 11, 2024 Accepting new patients
Second Sunrise Therapy PLLC Professional CurrentSince Dec 17, 2023 Accepting new patients
Center for Enriched Communications, Inc. CurrentSince Jun 11, 2024 Accepting new patients

Locations

2708 Patterson Rd
Grand Junction, CO 81506
Phone (970) 243-9539

Organizations & group practices 3

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1447660915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 HIGHWAY 348",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814259744",
            "telephone_number": "970-596-4590",
            "fax_number": "970-737-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 HIGHWAY 348",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814259744",
            "telephone_number": "970-596-4590",
            "fax_number": "970-245-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY-LOPEZ",
        "first_name": "LYDIA",
        "middle_name": "ANN",
        "credential": "LPC. LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0013513",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, CO

Sources for this page

Verify at the official NPI Registry.