IRENE BAUTISTA LOPEZ MS, LPC, NCC, RPT
NPI 1164021135
Counselor - Mental Health in Lawrenceville, GA

Active since October 21, 2020
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Oct 21, 2020 (2 updates tracked since 2020).

About Irene Bautista Lopez Ms, Lpc, Ncc, Rpt NPPES

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

IRENE BAUTISTA LOPEZ MS, LPC, NCC, RPT (NPI 1164021135) is an individual mental health provider in Lawrenceville, Georgia, licensed in Georgia (LPC013408) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1164021135
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIRENE BAUTISTA LOPEZCredential: MS, LPC, NCC, RPT
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address3025-b Bethany Church Rd., Suite 1300Norcross, GA 30039 · (803) 944-1359
Sole ProprietorNo
Enumeration DateOctober 21, 2020
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1164021135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC013408
175 GWINNETT DR, Lawrenceville, GA 30046

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.

Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Bautista Lopez's NPI number?

The NPI number for Irene Bautista Lopez is 1164021135. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Irene Bautista Lopez located?

Irene Bautista Lopez practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.

What is Irene Bautista Lopez's specialty?

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

When was this NPI record last updated?

The NPPES record for Irene Bautista Lopez was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.