LESLIE KAREN LOPEZ
NPI 1063930402
Counselor - Mental Health in Santa Monica, CA

Q: What is Leslie Lopez's NPI number?

The NPI number for Leslie Lopez is 1063930402. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Q: What is Leslie Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Lopez was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2017PECOS Enrolled

1328 2ND ST, SANTA MONICA, CA 90401(310) 394-6889 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2020, Jun 3, 2019 (2 updates tracked since 2019).

On this page

About Leslie Karen Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE KAREN LOPEZ (NPI 1063930402) is an individual mental health provider in Santa Monica, California, licensed in California (96456) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063930402

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLESLIE KAREN LOPEZ

Location Address1328 2ND STSanta Monica, CA 90401-1122

Mailing Address3435 Ocean Park Blvd Ste 207Santa Monica, CA 90405-3314 · (310) 392-9474

Phone(310) 394-6889

Sole ProprietorYes

Enumeration DateSeptember 6, 2017

Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2020

✔ NPI 1063930402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 96456

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1328 2ND ST, Santa Monica, CA 90401

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Karen Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANDREW LIBERMAN

Counselor