Active NPI
Herlinda C Lopez
- Mental Health Counselor
- Canutillo, TX
National Provider Identifier
1609162528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T0139841
- Practice address
- 6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005 - Phone
- (575) 882-5100
- NPI assigned
- Jun 20, 2011
- Last updated
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T0139841 | NM | Primary |
Addresses
Primary practice location
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0139841 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0139841 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunwest Behavioral Associates PA | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1609162528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2671",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880212671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 DONIPHAN DR STE G",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798355005",
"telephone_number": "575-882-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "HERLINDA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T0139841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T0139841",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canutillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.