Active NPI
Meredith Jolly Lopez, MSW, LMSW
- Mental Health Counselor
- Columbia, SC
National Provider Identifier
1891063343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8529
- Practice address
- 2435 Forest Dr
Columbia, SC 29204-2026 - Phone
- (803) 331-6271
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8529 | SC | Primary |
Addresses
Primary practice location
2435 Forest Dr
Columbia, SC 29204-2026
Mailing address
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 331-6271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8529 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1891063343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-331-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-331-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MEREDITH",
"middle_name": "JOLLY",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.