Individual provider Active NPI

Bertha Iris Lopez, MS,CCC-SLP

  • Speech-Language Pathologist
  • Denton, TX
National Provider Identifier
1700010857
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101334 Issued in TX
Practice address
3001 Santa Monica Dr # D5
Denton, TX 76205-8571
Phone
(940) 367-8101
Fax
(940) 239-9891
NPI assigned
May 5, 2009
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101334 TX Primary

Addresses

Primary practice location

3001 Santa Monica Dr # D5
Denton, TX 76205-8571

Mailing address

3001 Santa Monica Dr # D5
Denton, TX 76205-8571
Phone (940) 367-8101

Other identifiers 4

IdentifierTypeStateIssuer
201265003MedicaidTX
201265004MedicaidTX
20122650031700010857OtherTXCOOK CHILDREN'S HEALTH PLAN/STAR
LB00802OtherTXCOOK CHILDREN'S HEALTH PLAN(CHIP)

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 Science

State licenses

LicenseStateTypeSpecialty
101334TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1700010857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SANTA MONICA DR # D5",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058571",
            "telephone_number": "940-367-8101",
            "fax_number": "940-239-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SANTA MONICA DR # D5",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058571",
            "telephone_number": "940-367-8101",
            "fax_number": "940-239-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BERTHA",
        "middle_name": "IRIS",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201265003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201265004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOK CHILDREN'S HEALTH PLAN/STAR",
            "identifier": "20122650031700010857",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOK CHILDREN'S HEALTH PLAN(CHIP)",
            "identifier": "LB00802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.