Doreen Lynn Lopes, SUDD I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11456 Issued in CA

Practice address

180 Sierra College Dr
Grass Valley, CA 95945-5768

Phone

(530) 273-9541

Fax

(530) 273-7740

NPI assigned

Sep 12, 2012

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Granite Wellness Centers

  dba Grass Valley Campus

  • Community/Behavioral Health Agency
  • Grass Valley, CA
  • NPI 1750500237
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1467702860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NADENE DR",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959013522",
            "telephone_number": "916-410-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455768",
            "telephone_number": "530-273-9541",
            "fax_number": "530-273-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES",
        "first_name": "DOREEN",
        "middle_name": "LYNN",
        "credential": "SUDD I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "P0806061611",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAS",
            "identifier": "P0806061611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Diane Locke
• Lou Logan
• Thomas J. Long, M.D.
• Longs Drug Stores California LLC (CVS Pharmacy #09155)
• Mariah Longthorne
• Reina Lopez
• Shelby Dawn Lopp
• Nicholas Scott Lotze, RPT
• Audrey Lough
• Joseph Louing

• Addiction (Substance Use Disorder) Counselor in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.