Carlos Angel Lopez Jr.

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

1424 2ND St N
Sauk Rapids, MN 56379-2533

Phone

(651) 313-8080

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

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  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1932821246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ROBERTS RD APT 309",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774133",
            "telephone_number": "320-221-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 2ND ST N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792533",
            "telephone_number": "651-313-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamusu Lamin
• Sandra Lynn Landwehr
• Kayla Marie Larkin, LPCC
• Legacy Place
• Haven Maryanne Licht, RN
• Lindsey Lovaas, MS, LPCC, LADC, NCC
• Ulysses J Loyal
• Tracy Annette Ludwig, C.M.T.
• Meagan Ann Lydeen
• Stacey Marie Magnuson, PHARM.D., RPH

• Student Health Clinic/Center in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Student Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.