Active NPI
Carlos Lopez
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1649656315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12129
- Practice address
- 101 Donald Ross Dr
Raleigh, NC 27610-2593 - Phone
- (919) 250-3320
- NPI assigned
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12129 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22117 | NC |
Addresses
Primary practice location
101 Donald Ross Dr
Raleigh, NC 27610-2593
Mailing address
200 E Main St
Suite 201
Clayton, NC 27520-2472
Other practice location 1
200 E Main St
Suite 201
Clayton, NC 27520-2472
Phone (919) 423-9113
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 |
|---|---|---|---|
| LCAS-22117 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A12129 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lunova Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| You-Turn Counseling | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Cary, NC
- NPI 1225565773
Addiction (Substance Use Disorder)
-
- Marriage & Family Therapist
- Clayton, NC
- NPI 1376945907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1649656315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E MAIN ST",
"address_2": "SUITE 201",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DONALD ROSS DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102593",
"telephone_number": "919-250-3320"
}
],
"practiceLocations": [
{
"address_1": "200 E Main St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "275202472",
"country_code": "US",
"telephone_number": "919-423-9113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12129",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-22117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.