Noe Antonio Lopez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66155 Issued in TX

Practice address

10921 Pellicano Dr Ste 110
El Paso, TX 79935-4604

Phone

(915) 313-4114

NPI assigned

Mar 17, 2010

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nke New Leaf LLC

  dba New Leaf Wellness Center

  • Professional Counselor
  • El Paso, TX
  • NPI 1366796724
  NPD Authorized official

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1467776625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 PELLICANO DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354604",
            "telephone_number": "915-313-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 PELLICANO DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354604",
            "telephone_number": "915-313-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NOE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915829",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Lopez
• Maribel Lopez, PHARM.D.
• Mayela Lopez, LPC
• Michael John Lopez III, MD
• Nidia Lopez, PA
• Nora Lopez
• Nora Laura Lopez, COTA
• Norma Lopez
• Omar Daniel Lopez, CRNA, DNP
• Pamela Ann Lopez, MD

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.