Christian Michael Lopez, BS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4654 Issued in NV

Practice address

222 S Rainbow Blvd Ste 107
Las Vegas, NV 89145-5343

Phone

(702) 912-5404

NPI assigned

May 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Victory Alliance LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1790158475
  NPD
• Westcare Nevada Inc

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1306022025
  NPD (past)
• Westcare Nevada Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1902214752
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1669818779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PALISADES DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147571",
            "telephone_number": "702-353-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455343",
            "telephone_number": "702-912-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "MICHAEL",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Lopez
• Carlos Anthony Lopez
• Carmen Lopez
• Carol Tiziana Lopez
• Catalina Lopez
• Christina Lopez
• Christopher Andrew Lopez
• Constance Lopez
• Coral Lopez
• Cynthia Lopez

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.