Active NPI
Angelica Lopez
- Mental Health Counselor
- Des Plaines, IL
National Provider Identifier
1457862997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1717 Rand Rd
Des Plaines, IL 60016-3509 - Phone
- (847) 376-2106
- NPI assigned
- Oct 23, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1717 Rand Rd
Des Plaines, IL 60016-3509
Mailing address
3644 S 53Rd CT
Cicero, IL 60804-4434
Phone (773) 307-2859
Other practice location 1
3644 S 53rd CT
Cicero, IL 60804
Phone (773) 307-2859
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457862997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3644 S 53RD CT",
"city": "CICERO",
"state": "IL",
"postal_code": "608044434",
"telephone_number": "773-307-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 RAND RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600163509",
"telephone_number": "847-376-2106"
}
],
"practiceLocations": [
{
"address_1": "3644 S 53rd CT",
"address_purpose": "LOCATION",
"city": "Cicero",
"state": "IL",
"postal_code": "60804",
"country_code": "US",
"telephone_number": "773-307-2859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.