Marisol McElroy Lopez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1432-124 Issued in WI

Practice address

541 W Main St
Evansville, WI 53536-1094

Phone

(608) 512-2366

NPI assigned

Jun 11, 2018

Last updated

May 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marisol Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison Psychotherapy Center, LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1902023435

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1902399207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361094",
            "telephone_number": "608-512-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY LOPEZ",
        "first_name": "MARISOL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1432-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "LOPEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianne Lochrie, NP
• Lindsey Andrea Lopp, PT, DPT
• Karmen Lee Maag
• Ronald B. Mabie, R.PH
• Nicole Mael
• Julie A McLaughlin, MS, RD, CD
• MD Group LLC (Evansville Hometown Pharmacy)
• Mercy Dental Evansville LLC (The Grove Family Dental)
• Mercy Health System Corporation (Mercy Evansville Medical Center)
• MH Health Care Services, PC

• Marriage & Family Therapist in Evansville, WI
• Providers in Evansville, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.