Individual provider Active NPI

Dorothy A. Lopez, L.P.C.

  • Mental Health Counselor
  • Maumee, OH
National Provider Identifier
1689794299
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C 0006291 Issued in OH
Practice address
1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029
Phone
(419) 491-0420
Fax
(567) 698-7875
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C 0006291 OH Primary

Addresses

Primary practice location

1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029

Mailing address

PO Box 823
Maumee, OH 43537-0823
Phone (419) 491-0420

Other identifiers 1

IdentifierTypeStateIssuer
1437626587OtherOHANCHORED IN HOPE COUNSELING GROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dora@anchoredinhopecounseling.org

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

State licenses

LicenseStateTypeSpecialty
C 0006291OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1689794299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435370823",
            "telephone_number": "419-491-0420",
            "fax_number": "567-698-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 INDIAN WOOD CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374029",
            "telephone_number": "419-491-0420",
            "fax_number": "567-698-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DOROTHY",
        "middle_name": "A.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C 0006291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCHORED IN HOPE COUNSELING GROUP NPI",
            "identifier": "1437626587",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dora@anchoredinhopecounseling.org",
            "affiliation": "N",
            "address_1": "1910 Indian Wood Cir Ste 100",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435374029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.