Gloria Bautista Lopez, LPC,LCDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

83770 Issued in TX

Practice address

9501 N FM 620 Rd Apt 4502
Austin, TX 78726-2906

Phone

(512) 944-7630

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1750029773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N FM 620 RD APT 4502",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787262906",
            "telephone_number": "512-944-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N FM 620 RD APT 4502",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787262906",
            "telephone_number": "512-944-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3624 N Hills Dr Ste A201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313085",
            "country_code": "US",
            "telephone_number": "512-944-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GLORIA",
        "middle_name": "BAUTISTA",
        "credential": "LPC,LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83770",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Lopez, PHARMD
• Erika Veronica Lopez, WHNP-BC
• Erin Elizabeth Lopez, PA-C
• Fatima Lopez, DC
• Gabriela Lopez
• Guillermo Lopez, OT
• Guinivir Lopez, RPH
• Hannah Lopez
• Homero Lopez, LPC-ASSOCIATE
• Jean Lopez, LCSW

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.