Vanessa Morales Lopez, LCPC, ICDVP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011857 Issued in IL

Practice address

15 Spinning Wheel Rd Ste 34
Hinsdale, IL 60521-2914

Phone

(708) 740-7904

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Rise Wellness and Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hinsdale, IL
  • NPI 1821671793
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1972079119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 34",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "708-740-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 34",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "708-740-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES LOPEZ",
        "first_name": "VANESSA",
        "credential": "LCPC, ICDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@risewellnessandtherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant E-Mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Spinning Wheel Rd Ste 34",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605212914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Montgomery
• Christy Joy Moo, LPC
• Victoria Moore
• Nafeesa A Moosabhoy, M.D.
• Alejandro Mora, LCSW
• Myriah Morawiecki Vargo, PSYD
• Joseph Moretti, DC
• Camille H Morgan, RD
• Christopher B. Morgan, M.D.
• Jacqulyn Morgan, CCC-SLP

• Professional Counselor in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.