Jessica M Lopez Barrera

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1379390320 Issued in CA

Practice address

17727 E Cypress St
Covina, CA 91722-2634

Phone

(626) 858-4920

Fax

(626) 858-4923

NPI assigned

May 27, 2020

Last updated

May 27, 2020By 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 1

Addresses

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.

• Social Model Recovery Systems, Inc.

  dba Stepping Stones Home I & II

  • Substance Abuse Rehabilitation Facility
  • Covina, CA
  • NPI 1164709895
  NPD
• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1497834089
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1538782487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17727 E CYPRESS ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222634",
            "telephone_number": "626-858-4920",
            "fax_number": "626-858-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 E CYPRESS ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222634",
            "telephone_number": "626-858-4920",
            "fax_number": "626-858-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BARRERA",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1379390320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajanee Long-Simon
• Haley Hana Long
• Kara Michelle Long, M ED., BCBA
• Longs Drug Stores California LLC (CVS Pharmacy #09146)
• Jane Aileen Lopez Arias
• Brenda Jaqueline Lopez Cota Ruiz
• Xochil Guadalupe Lopez Guerrero
• Lucia Lizlet Lopez Plunkett, PHD
• Elena Lopez Scharsch
• Michelle M Lopez-Arias

• Addiction (Substance Use Disorder) Counselor in Covina, CA
• Providers in Covina, 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 May 27, 2020; 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.