Active NPI
Blanca Lopez, MFT-INTERN
- Marriage & Family Therapist
- Tulare, CA
National Provider Identifier
1619001146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 46355
- Practice address
- 327 S K St
Tulare, CA 93274-5416 - Phone
- (559) 688-2043
- Fax
- (559) 688-1304
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 46355 | CA | Primary |
Addresses
Primary practice location
327 S K St
Tulare, CA 93274-5416
Mailing address
327 S K St
Tulare, CA 93274-5416
Phone (559) 688-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF 46355 | Other | CA | BBS LICENSE # |
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 |
|---|---|---|---|
| IMF 46355 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Horizon 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tulare, CA
- NPI 1881719839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619001146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 S K ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932745416",
"telephone_number": "559-688-2043",
"fax_number": "559-688-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 S K ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932745416",
"telephone_number": "559-688-2043",
"fax_number": "559-688-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BLANCA",
"credential": "MFT-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 46355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS LICENSE #",
"identifier": "IMF 46355",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.