Individual provider Active NPI

Anna Maria Lopez, LMFT, LPCC

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1619316080
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115841 Issued in CA
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

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL SPRUCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20240104002942 OR Practitioner - Marriage and Family Therapist 9638520547 Reassigns benefits to 1 organization
I20240104003375 CA Practitioner - Marriage and Family Therapist 9638520547 Reassigns benefits to 1 organization
Practice locations: Victorville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1861ORMDMarriage & Family Therapist
9552CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Sokyahealth Medical Group PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Diosa Counseling Center Inc Mental Health Current Accepting new patients
Headlight Health Medical Group PLLC Mental Health PastSince Feb 25, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.