Natasha Ann Lopez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-15540 Issued in AZ

Practice address

7565 E Eagle Crest Dr Ste 201
Mesa, AZ 85207-1067

Phone

(480) 788-5069

Fax

(480) 634-8850

NPI assigned

Feb 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Desert Vista Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
  • NPI 1386066181
  NPD

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1679879902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 S SPUR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042719",
            "telephone_number": "480-826-1978",
            "fax_number": "702-998-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 E EAGLE CREST DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071067",
            "telephone_number": "480-788-5069",
            "fax_number": "480-634-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NATASHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01498",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679879902",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Lopez, DMD
• Joseph Alexander Lopez, M.D.
• Kim Lopez, NMD
• Luz Angela Lopez, M.D
• Melissa Lopez
• Phyllis M Lopez
• Ricardo Lopez, PA
• Sarah Anne Lopez
• Tatiana Marie Lopez, MOT, OTR/L
• Victor Lopez

• Marriage & Family Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.