Active NPI
Anna Maria Lopez, LMFT, LPCC
- Marriage & Family Therapist
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 115841
- Practice address
- 14201 Kentwood Blvd Ste 2
Victorville, CA 92392-2472 - Phone
- (760) 253-1834
- NPI assigned
- Jun 19, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9552 | CA | |
| Marriage & Family Therapist | 106H00000X | T1861 | OR | |
| Marriage & Family Therapist | 106H00000X | 115841 | CA | Primary |
Addresses
Primary practice location
14201 Kentwood Blvd Ste 2
Victorville, CA 92392-2472
Mailing address
14201 Kentwood Blvd Ste 2
Victorville, CA 92392-2472
Phone (760) 253-1834
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SPRUCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1861 | OR | MD | Marriage & Family Therapist |
| 9552 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Mental Health | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Mental Health | Current | Accepting new patients |
| Diosa Counseling Center Inc | Mental Health | Current | Accepting new patients |
| Headlight Health Medical Group PLLC | Mental Health | Past | Accepting new patients |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
900 Lane Ave
Ste 114
Chula Vista, CA 91914
Phone (858) 427-5060
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
14201 Kentwood Blvd
Ste 2
Victorville, CA 92392
Phone (760) 253-1834
14420 Civic Dr
Ste 6
Victorville, CA 92392
Phone (442) 284-0588
700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559
4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592
Interoperability endpoints
- anna.lopez.p1@direct.sokya.nextgenshare.com
Organizations & group practices 5
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1942970330
-
- Mental Health Counselor
- Portland, OR
- NPI 1447842232
-
- Community/Behavioral Health Agency
- Victorville, CA
- NPI 1710625728
Mental Health
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1619316080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 KENTWOOD BLVD STE 2",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922472",
"telephone_number": "760-253-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 KENTWOOD BLVD STE 2",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922472",
"telephone_number": "760-253-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANNA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LMFT, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "9552",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1861",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "115841",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SPRUCE",
"affiliation": "N",
"endpointDescription": "HIPAA COMPLIANT PLATFORM",
"address_1": "14201 Kentwood Blvd Ste 2",
"city": "Victorville",
"state": "CA",
"country_code": "US",
"postal_code": "923922472",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.