NPIMap

Maria G. Lopez-Sopher, BA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Crestline, CA

NPI 1851035976 · NPPES record last updated Jul 14, 2023

Key facts

NPI
1851035976
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
340 Ca-138
Crestline, CA 92325
Phone
(909) 273-7714
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling & Training, Inc. Student in an Organized Health Care Education/Training Program Current
since Jul 16, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

340 Ca-138
Crestline, CA 92325

Mailing address

PO Box 6300
Crestline, CA 92325-6300
Phone (760) 261-3110

Other providers in Crestline, CA

All providers in Crestline, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.