Individual provider Active NPI

Patrice Jacqueline Lopez-Dowrey

  • Marriage & Family Therapist
  • La Quinta, CA
National Provider Identifier
1942436878
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT85632 Issued in CA
Practice address
43330 Palm Royale Dr
La Quinta, CA 92253-8170
Phone
(760) 238-9845
NPI assigned
Jun 5, 2009
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT85632 CA Primary

Addresses

Primary practice location

43330 Palm Royale Dr
La Quinta, CA 92253-8170

Mailing address

79518 Dandelion Dr
La Quinta, CA 92253-4852
Phone (760) 610-6725

Other practice location 1

78060 Calle Estado
LA Quinta, CA 92253-2960
Phone (760) 610-6725

Other names 1

  • Ms. Patrice Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002170 CA Practitioner - Marriage and Family Therapist 9739526971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT85632CAMDMarriage & Family Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1942436878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79518 DANDELION DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534852",
            "telephone_number": "760-610-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 PALM ROYALE DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538170",
            "telephone_number": "760-238-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78060 Calle Estado",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922532960",
            "country_code": "US",
            "telephone_number": "760-610-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-DOWREY",
        "first_name": "PATRICE",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT85632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "LOPEZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.