Individual provider Active NPI

Timothy Lopez, LCMHC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1972878098
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017 Issued in NH
Practice address
5 Pine Street Ext
Nashua, NH 03060-3248
Phone
(603) 889-6147
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 2017 NH Primary

Addresses

Primary practice location

5 Pine Street Ext
Nashua, NH 03060-3248

Mailing address

100 W Pearl St
Nashua, NH 03060-3343
Phone (603) 889-6147

Other practice location 1

7 Prospect St
Nashua, NH 03060
Phone (603) 889-6147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20231227001689 NH Practitioner - Mental Health Counselor 1658721022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Council of Nashua NH IncGroup PAC ID 4486616612, 27 clinicians

Practice addresses (Care Compare)

100 W Pearl St
Nashua, NH 03060-3343
Phone (603) 889-6147

440 Amherst St
Nashua, NH 03063-1225
Phone (603) 889-6147

7 Prospect St
Nashua, NH 03060-3921
Phone (603) 889-6147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Nashua NH, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 W Pearl St
Nashua, NH 03060
Phone 60388961473189

5 Pine Street Ext
Nashua, NH 03060
Phone (603) 881-4848

7 Prospect St
Nashua, NH 03060
Phone (603) 816-7146

440 Amherst St
Nashua, NH 03063

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1972878098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PEARL ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603343",
            "telephone_number": "603-889-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE STREET EXT",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603248",
            "telephone_number": "603-889-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TIMOTHY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.