Individual provider Active NPI

Maria Eloisa Lopez

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1821556549
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
10990 Wilshire Blvd Ste 250
Los Angeles, CA 90024-3932
Phone
(415) 360-3833
NPI assigned
Mar 12, 2019
Reactivated
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

10990 Wilshire Blvd Ste 250
Los Angeles, CA 90024-3932

Mailing address

930 39TH Ave. PO Box 336125
Greeley, CO 80633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 11, 2024 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Octave Behavioral Health PC PastSince Jan 14, 2024 Accepting new patients
Asian American Drug Abuse Program, Inc PastSince Apr 1, 2021 Accepting new patients
Asian American Drug Abuse Program, Inc PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1821556549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 39TH AVE. PO BOX 336125",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 WILSHIRE BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243932",
            "telephone_number": "415-360-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIA",
        "middle_name": "ELOISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "deactivation_date": "2020-03-11",
        "reactivation_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.