Active NPI
Melinda Lopez, LBP
- Professional Counselor
- Lawton, OK
National Provider Identifier
1902036411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0025
- Practice address
- 602 SW 38TH St
Lawton, OK 73505-6912 - Phone
- (580) 248-5780
- NPI assigned
- Jul 17, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0025 | OK | Primary |
Addresses
Primary practice location
602 SW 38TH St
Lawton, OK 73505-6912
Mailing address
1215 E Aster Ave
Frederick, OK 73542-7817
Phone (580) 335-1215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100747400B | Medicaid | OK |
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 |
|---|---|---|---|
| 0025 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1902036411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E ASTER AVE",
"city": "FREDERICK",
"state": "OK",
"postal_code": "735427817",
"telephone_number": "580-335-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 SW 38TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056912",
"telephone_number": "580-248-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MELINDA",
"credential": "LBP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "0025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100747400B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.