Active NPI
Juan Moises Lopez, MED
- Professional Counselor
- Edinburg, TX
National Provider Identifier
1669034377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17301
- Practice address
- 615 E Rogers Rd
Edinburg, TX 78541-8264 - Phone
- (956) 624-9158
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17301 | TX | Primary |
Addresses
Primary practice location
615 E Rogers Rd
Edinburg, TX 78541-8264
Mailing address
615 E Rogers Rd
Edinburg, TX 78541-8264
Phone (956) 624-9158
Other names 1
- Mr. Juan Moises Lopez
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17301 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1669034377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E ROGERS RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785418264",
"telephone_number": "956-624-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E ROGERS RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785418264",
"telephone_number": "956-624-9158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JUAN",
"middle_name": "MOISES",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUAN",
"last_name": "LOPEZ",
"middle_name": "MOISES",
"prefix": "MR.",
"credential": "JUAN M LOPEZ",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.