Individual provider Active NPI

Ashlyn Lopez, MA, LCPC, LMHC

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1801257787
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010218 Issued in IL
Practice address
933 W Locust St
Davenport, IA 52804-3851
Phone
(773) 766-7727
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.010218 IL Primary
Professional Counselor 101YP2500X 180010218 IL

Addresses

Primary practice location

933 W Locust St
Davenport, IA 52804-3851

Mailing address

933 W Locust St
Davenport, IA 52804-3851
Phone (773) 766-7727

Other practice location 1

535 Lyman Ave
Oak Park, IL 60304-1629
Phone (773) 766-7727

Other names 1

  • Samantha Elliott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506001263 IA Practitioner - Mental Health Counselor 1759859945 Practice locations: Davenport, IA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

933 W Locust St
Davenport, IA 52804-3851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.010218ILMDMental Health Counselor
180010218ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashlyn E Lopez Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Art of Balance Mental Health CurrentSince Dec 1, 2023 Accepting new patients

Locations

1409 W Irving Park Rd
Chicago, IL 60613
Phone (773) 325-2225

Organizations & group practices 2

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1801257787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043851",
            "telephone_number": "773-766-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043851",
            "telephone_number": "773-766-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Lyman Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603041629",
            "country_code": "US",
            "telephone_number": "773-766-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ASHLYN",
        "credential": "MA, LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010218",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ELLIOTT",
            "credential": "MA, LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.