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MAYRA BEDOLLA-LOPEZ
NPI 1346694361
Marriage & Family Therapist in Atwood, CA

Active since April 15, 2016Opted out of Medicare · through Jun 5, 2027
1679 E ORANGETHORPE AVE UNIT 24, ATWOOD, CA 92811(714) 470-9210 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Feb 17, 2017 (2 updates tracked since 2017).

About Mayra Bedolla-lopez NPPES

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

MAYRA BEDOLLA-LOPEZ (NPI 1346694361) is an individual marriage & family therapist in Atwood, California and active in the NPI registry since April 2016. She has opted out of Medicare through June 5, 2027.

NPPES Registry Identity

NPI1346694361
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAYRA BEDOLLA-LOPEZ
Location Address1679 E ORANGETHORPE AVE UNIT 24Atwood, CA 92811-1201
Mailing Address525 Cabrillo Park Dr Ste 300Santa Ana, CA 92701-5017
Phone(714) 470-9210
Sole ProprietorYes
Enumeration DateApril 15, 2016
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1346694361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1679 E ORANGETHORPE AVE UNIT 24, Atwood, CA 92811
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mayra Bedolla-lopez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2025 through June 5, 2027.

Opt-Out Effective DateJune 5, 2025
Opt-Out In Effect ThroughJune 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Mayra Bedolla-lopez's NPI number?

The NPI number for Mayra Bedolla-lopez is 1346694361. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Mayra Bedolla-lopez located?

Mayra Bedolla-lopez practices at 1679 E Orangethorpe Ave Unit 24, Atwood, CA 92811. The listed phone number is (714) 470-9210.

What is Mayra Bedolla-lopez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mayra Bedolla-lopez enrolled in Medicare?

No. Mayra Bedolla-lopez has opted out of Medicare through June 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mayra Bedolla-lopez was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.