Individual provider Active NPI

Nancy Lee Lopez, M.S., M.A., LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1649855495
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MH21622 Issued in CA
Practice address
644 E Thompson Blvd
Ventura, CA 93001-2829
Phone
(805) 648-2548
Fax
(805) 652-0745
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MH21622 CA Primary

Addresses

Primary practice location

644 E Thompson Blvd
Ventura, CA 93001-2829

Mailing address

644 E Thompson Blvd
Ventura, CA 93001-2829
Phone (805) 648-2548

Other identifiers 1

IdentifierTypeStateIssuer
01OtherCAINSURANCE COMPANIES

Other names 1

  • Nancy Lee Lopez Former name

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MH21622CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1649855495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 E THOMPSON BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012829",
            "telephone_number": "805-648-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E THOMPSON BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012829",
            "telephone_number": "805-648-2548",
            "fax_number": "805-652-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NANCY",
        "middle_name": "LEE",
        "credential": "M.S., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MH21622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE COMPANIES",
            "identifier": "01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LOPEZ",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.