Active NPI
Crystal Villalobos Lopez, LMFT
- Mental Health Counselor
- Atascadero, CA
National Provider Identifier
1891179321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 104718
- Practice address
- 4507 Del Rio Rd
Atascadero, CA 93422-1933 - Phone
- (805) 462-4230
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 104718 | CA | Primary |
Addresses
Primary practice location
4507 Del Rio Rd
Atascadero, CA 93422-1933
Mailing address
7520 Sombrilla Ave Apt a
Atascadero, CA 93422-4634
Phone (805) 431-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96704364E34167 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104718 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1891179321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7520 SOMBRILLA AVE APT A",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224634",
"telephone_number": "805-431-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4507 DEL RIO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934221933",
"telephone_number": "805-462-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CRYSTAL",
"middle_name": "VILLALOBOS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "104718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "96704364E34167",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.