Individual provider Active NPI

Karina Lopez

  • Mental Health Counselor
  • Springfield, OR
National Provider Identifier
1932964178
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R8838 Issued in OR
Practice address
175 W B St Ste H
Springfield, OR 97477-4575
Phone
(503) 523-9690
Fax
(541) 299-5685
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R8838 OR Primary

Addresses

Primary practice location

175 W B St Ste H
Springfield, OR 97477-4575

Mailing address

PO Box 852
Springfield, OR 97477-0142
Phone (541) 423-2633

Other practice location 1

1717 Centennial Blvd Ste 12
Springfield, OR 97477-3378
Phone (541) 275-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 23, 2026 through Apr 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R8838ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Counseling & Wellness LLC Mental Health CurrentSince May 19, 2024 Accepting new patients

Locations

175 W B St
Ste H
Springfield, OR 97477
Phone (541) 423-2633

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1932964178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770142",
            "telephone_number": "541-423-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W B ST STE H",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774575",
            "telephone_number": "503-523-9690",
            "fax_number": "541-299-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Centennial Blvd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974773378",
            "country_code": "US",
            "telephone_number": "541-275-0412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.