Individual provider Active NPI

Anthony Feliciano Lopez, MHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1881057578
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1420 Bushwick Ave
Brooklyn, NY 11207-1422
Phone
(718) 602-2513
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1420 Bushwick Ave
Brooklyn, NY 11207-1422

Mailing address

1420 Bushwick Ave
Brooklyn, NY 11207-1422
Phone (718) 602-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA, DC, MA, CO, NY, NJ, VT, PA, AZ11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20240427001878 TX Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20240502002134 FL Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20240513003441 CA Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20240822001132 DC Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20240903000368 MA Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20240925003044 CO Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20241119001342 NY Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20250325002313 NJ Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20260516000470 VT Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20260522001171 PA Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization
I20260526001249 AZ Practitioner - Mental Health Counselor 5890135644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Redeemed Spirit LLC Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthonylopez@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1881057578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071422",
            "telephone_number": "718-602-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071422",
            "telephone_number": "718-602-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANTHONY",
        "middle_name": "FELICIANO",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.