Active NPI
Nicolle Stephany Lopez, AMFT
- Mental Health Counselor
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1465 30TH St Ste K
San Diego, CA 92154-3497 - Phone
- (619) 428-1000
- NPI assigned
- Feb 22, 2022
- Last updated
- Dec 2, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Marriage & Family Therapist | 106H00000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1465 30TH St Ste K
San Diego, CA 92154-3497
Mailing address
272 Church Ave Ste 3
Chula Vista, CA 91910-2718
Phone (619) 737-2989
Other practice location 1
180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (877) 421-1711
Other practice location 2
5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Phone (877) 421-1711
Other practice location 3
30211 Avenida De Las Bandera # 2000
Rancho Santa Margarita, CA 92688-2147
Phone (877) 421-1711
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Verdad Family Therapy Professional Corporation | Marriage & Family Therapist | Current | Accepting new patients |
| Community Research Foundation | Past | Accepting new patients |
Locations
272 Church Ave
Ste 3
Chula Vista, CA 91910
Phone (619) 737-2989
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Chula Vista, CA
- NPI 1629880935
-
dba Maria Sardinas Center
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1437372026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1952057648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 CHURCH AVE STE 3",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102718",
"telephone_number": "619-737-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 30TH ST STE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000"
}
],
"practiceLocations": [
{
"address_1": "180 E Main St Ste 203",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927804414",
"country_code": "US",
"telephone_number": "877-421-1711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Birch St Ste 3000",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602140",
"country_code": "US",
"telephone_number": "877-421-1711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30211 Avenida De Las Bandera # 2000",
"address_purpose": "LOCATION",
"city": "Rancho Santa Margarita",
"state": "CA",
"postal_code": "926882147",
"country_code": "US",
"telephone_number": "877-421-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "NICOLLE",
"middle_name": "STEPHANY",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.