DR. JEFFERY THOMAS LOPEZ PHD
NPI 1306239330
Counselor in West Linn, OR

Active since March 16, 2015
1701 SHADOW WOOD DR, WEST LINN, OR 97068(503) 708-6866 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Accepts Insurance

About JEFFERY LOPEZ

This page provides the complete NPI Profile along with additional information for Jeffery Lopez, a provider established in West Linn, Oregon with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1306239330 assigned on March 2015. The practitioner's primary taxonomy code is 101Y00000X with license number C4623 (OR). The provider is registered as an individual and his NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1306239330 Verify this NPI
Provider Name
DR. JEFFERY THOMAS LOPEZ PHD
Gender
Male
Entity Type
Individual
Location Address
1701 SHADOW WOOD DR WEST LINN, OR 97068
Location Phone
(503) 708-6866
Mailing Address
1701 SHADOW WOOD DR WEST LINN, OR 97068
Mailing Phone
(503) 708-6866
Is Sole Proprietor?
Yes
Enumeration Date
03-16-2015
Last Update Date
03-06-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
C4623
License State
OR
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500673381MEDICAID (05)OR 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306239330, enumerated as an "individual" on March 16, 2015.

The provider is located at 1701 SHADOW WOOD DR WEST LINN, OR 97068 and the phone number is (503) 708-6866.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.