Active NPI
Luis E Lopez, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1982070629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009820
- Practice address
- 4939 W Fullerton Ave
Chicago, IL 60639-2505 - Phone
- (708) 683-9725
- NPI assigned
- Aug 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.009820 | IL | |
| Professional Counselor | 101YP2500X | 180.009820 | IL | Primary |
Addresses
Primary practice location
4939 W Fullerton Ave
Chicago, IL 60639-2505
Mailing address
1815 N 72ND CT
Elmwood Park, IL 60707-3702
Phone (616) 502-8672
Other practice location 1
4425 W Montrose Ave Ste 8
Chicago, IL 60641-2091
Phone (708) 683-9725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009820 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey'S Community Center Inc. | Mental Health | Past | Accepting new patients |
| Journey'S Community Center Inc. | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1427427376
-
- Mental Health Counselor
- Oak Park, IL
- NPI 1659151496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1982070629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 N 72ND CT",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607073702",
"telephone_number": "616-502-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392505",
"telephone_number": "708-683-9725"
}
],
"practiceLocations": [
{
"address_1": "4425 W Montrose Ave Ste 8",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606412091",
"country_code": "US",
"telephone_number": "708-683-9725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUIS",
"middle_name": "E",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.009820",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.