Gabriela Catalina Lopez, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00318300 Issued in NJ

Practice address

607 N Jerome Ave
Margate City, NJ 08402-1527

Phone

(609) 822-1108

Fax

(609) 822-1106

NPI assigned

Feb 14, 2019

Sex

Female

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

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Self CareGroup PAC ID 0345604120, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Therapeutic Self Care

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1912570144
  Medicare reassignment Care Compare group NPD Authorized official
• Therapeutic Self Care

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1255251377
  NPD (past) Authorized official

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1538625546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N JEROME AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021527",
            "telephone_number": "609-822-1108",
            "fax_number": "609-822-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N JEROME AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021527",
            "telephone_number": "609-822-1108",
            "fax_number": "609-822-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GABRIELA",
        "middle_name": "CATALINA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00318300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Kraft, MA, LAC
• Michele I Kramer, LCSW
• Connie Lam, OD
• Ian James Larson, DMD
• Emily Lattimore, LCSW
• Alice Marco, LCSW
• Margate Diagnostic Center
• Katherine C Mattleman
• Andrea J Mazur, O.D.
• Stephanie Rita McColl, LPC

• Counselor in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.