Carla Sephora Lopez, LPC, ATR-P

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0015979 Issued in CO

Practice address

11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637

Phone

(303) 617-2300

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in CO

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brave Embodiment Counseling LLCGroup PAC ID 6406217181, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brave Embodiment Counseling LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1053828525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1689167835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N HUMBOLDT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181617",
            "telephone_number": "970-485-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142637",
            "telephone_number": "303-617-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLA",
        "middle_name": "SEPHORA",
        "credential": "LPC,  ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lopez Surgical Inc.
• Catherine Irene Lopez Wessell, MSW, LCSW, RPT
• Denise Lopez-Rodriguez, R.D.H.
• Theresa Marie Lopez-Scott, P.T.
• Alfredo Lopez
• Cecilia Lopez, MA. BCBA
• Claudia Lopez
• David Lopez
• Francis Lopez
• Giovanna Y Lopez

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.