Individual provider Active NPI

Deborah Perez-Lopez, MS

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1851046551
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15267 Issued in NC
Practice address
4810 Wrightsville Ave
Wilmington, NC 28403-6917
Phone
(347) 640-3294
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 15267 NC Primary
Professional Counselor 101YP2500X LPC008870 GA

Addresses

Primary practice location

4810 Wrightsville Ave
Wilmington, NC 28403-6917

Mailing address

341 S. College Rd. Ste 11 PMB 1095
Wilmington, NC 28403
Phone (347) 640-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240507003771 NC Practitioner - Mental Health Counselor 0244671386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LCP Services NC PLLCGroup PAC ID 5193113033, 2 clinicians

Practice addresses (Care Compare)

4000 Shipyard Blvd
Suite 100
Wilmington, NC 28403-6194
Phone (919) 792-5577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC008870GAMDProfessional Counselor
15267NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LCP Services NC PLLC CurrentSince May 1, 2024 Accepting new patients
Carolina Psychological and Psychiatric Health SRVS, PA Professional CurrentSince May 1, 2025 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC PastSince May 1, 2025 Accepting new patients

Locations

8508 Park Rd
Charlotte, NC 28210
Phone (704) 981-2676

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

4000 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 792-5570

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, 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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1851046551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S. COLLEGE RD. STE 11 PMB 1095",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "347-640-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036917",
            "telephone_number": "347-640-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-LOPEZ",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15267",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.