Individual provider Active NPI

Christina Marie Lopez

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1578035432
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
546 N Jefferson LN Ste 302
Spokane, WA 99201-7104
Phone
(208) 704-1447
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

546 N Jefferson LN Ste 302
Spokane, WA 99201-7104

Mailing address

546 N Jefferson LN Ste 302
Spokane, WA 99201-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240705001688 WA Practitioner - Clinical Social Worker 1052855749
I20250616003002 ID Practitioner - Single Or Multispecialty Clinic Or Group Practice 1052855749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Lake Eyecare Center PS CurrentSince May 13, 2024 Accepting new patients
Serene Integrative Services, LLC Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Serene Applied Behavioral Analysis PastSince May 18, 2025 Accepting new patients
Spokane Psychology and Neuropsychology, PS PastSince Aug 1, 2007 Accepting new patients

Locations

1616 E Seltice Way
Post Falls, ID 83854
Phone (208) 661-9453

2207 N Molter Rd
Ste 100
Liberty Lake, WA 99019
Phone (509) 241-3541

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1578035432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N JEFFERSON LN STE 302",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N JEFFERSON LN STE 302",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017104",
            "telephone_number": "208-704-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.