Individual provider Active NPI

Gabrielle Angelique Lopez, CADC-LL, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Moreno Valley, CA
National Provider Identifier
1770457608
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A067181025 Issued in CA
Practice address
13941 Courage St
Moreno Valley, CA 92553-8757
Phone
(951) 497-3655
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A067181025 CA Primary

Addresses

Primary practice location

13941 Courage St
Moreno Valley, CA 92553-8757

Mailing address

13378 Kyle Dr
Moreno Valley, CA 92553-5412
Phone (805) 468-5818

Other practice location 1

835 Anira Ct
Perris, CA 92571-5113
Phone (951) 497-3655

Other practice location 2

14340 Elsworth St Ste 108&109
Moreno Valley, CA 92553-9019
Phone (951) 497-3655

Other practice location 3

13921 Courage St
Moreno Valley, CA 92553-8757
Phone (951) 497-3655

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
A067181025CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1770457608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13378 KYLE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535412",
            "telephone_number": "805-468-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13941 COURAGE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538757",
            "telephone_number": "951-497-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Anira Ct",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925715113",
            "country_code": "US",
            "telephone_number": "951-497-3655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14340 Elsworth St Ste 108&109",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925539019",
            "country_code": "US",
            "telephone_number": "951-497-3655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13921 Courage St",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925538757",
            "country_code": "US",
            "telephone_number": "951-497-3655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GABRIELLE",
        "middle_name": "ANGELIQUE",
        "credential": "CADC-LL, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A067181025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.