KARISSA LOPEZ MA, LPCC
NPI 1033565148
Counselor - Mental Health in Modesto, CA
Active since May 06, 2016
About Karissa Lopez Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARISSA LOPEZ MA, LPCC (NPI 1033565148) is an individual mental health provider in Modesto, California and active in the NPI registry since May 2016.
NPPES Registry Identity
NPI1033565148
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKARISSA LOPEZCredential: MA, LPCC
Location Address1539 MCHENRY AVEModesto, CA 95350-4528
Mailing Address2506 Dorrington CtModesto, CA 95350-2208 · (209) 499-8407
Phone(209) 702-0139
Sole ProprietorNo
Enumeration DateMay 6, 2016
Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1033565148 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 15856 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1539 MCHENRY AVE, Modesto, CA 95350
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Physical Therapy)
1539 MCHENRY AVE
MODESTO, CA 95350
MODESTO, CA 95350
Occupational Therapist (Neurorehabilitation)
1539 MCHENRY AVE, SUITE A
MODESTO, CA 95350
MODESTO, CA 95350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033565148, enumerated as an "individual" on May 06, 2016.
The provider is located at 1539 MCHENRY AVE MODESTO, CA 95350 and the phone number is (209) 702-0139.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
