Individual provider Active NPI

Brenda Ivonne Gil Lopez, LMFT

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1720692528
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61403530 Issued in WA
Practice address
600 N 36TH St Ste 302
Seattle, WA 98103-8698
Phone
(206) 627-0607
NPI assigned
Aug 31, 2020
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 61141001 WA
Marriage & Family Therapist 106H00000X LF61403530 WA Primary
Marriage & Family Therapist 106H00000X 120257 CA

Addresses

Primary practice location

600 N 36TH St Ste 302
Seattle, WA 98103-8698

Mailing address

600 N 36TH St Ste 302
Seattle, WA 98103-8698
Phone (206) 627-0607

Other practice location 1

14816 Bothell Way NE Apt 434
Lake Forest Park, WA 98155-7638
Phone (206) 627-0607

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
120257CAMDClinical Social Worker
61141001WAMDMarriage & Family Therapist
LF61403530WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Healing Arts PLLC PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1720692528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038698",
            "telephone_number": "206-627-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038698",
            "telephone_number": "206-627-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14816 Bothell Way NE Apt 434",
            "address_purpose": "LOCATION",
            "city": "Lake Forest Park",
            "state": "WA",
            "postal_code": "981557638",
            "country_code": "US",
            "telephone_number": "206-627-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIL LOPEZ",
        "first_name": "BRENDA",
        "middle_name": "IVONNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "61141001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61403530",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.