Active NPI
Paola Lopez
- Mental Health Counselor
- Nottingham, MD
National Provider Identifier
1902522006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP13098
- Practice address
- 5022 Campbell Blvd
Nottingham, MD 21236-4969 - Phone
- (240) 370-1961
- NPI assigned
- Oct 19, 2022
- 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 | LGP13098 | MD | Primary |
Addresses
Primary practice location
5022 Campbell Blvd
Nottingham, MD 21236-4969
Mailing address
5022 Campbell Blvd
Nottingham, MD 21236-4969
Phone (240) 370-1961
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 |
|---|---|---|---|
| LGP13098 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1902522006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 CAMPBELL BLVD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364969",
"telephone_number": "240-370-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 CAMPBELL BLVD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364969",
"telephone_number": "240-370-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PAOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP13098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.